Food Stamp Nutrition Connection Resource Sharing Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NAL - Food Stamp Nutrition Connection Resource Sharing Fom BurdenHours for 0518-0031.xlsx	Supplementary Document	Uploaded 2014-08-26	Available
NAL - Supporting Statement for Collection #0518-0031.docx	Supporting Statement A	Uploaded 2014-08-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182694	State, Local & Tribal Government	Other-SNAP-Ed Connection Submission Form	Modified
1016	Food Stamp Nutrition Connection Resource Sharing Form (Private)	Other-SNAP-Ed Connection Submission Form	Modified

ICR Details

OMB Control No: 0584-0625	ICR Reference No: 201705-0584-008
Status: Historical Active	Previous ICR Reference No: 201103-0518-001
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Stamp Nutrition Connection Resource Sharing Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/23/2017
	Date Received in OIRA: 05/23/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved
Responses	770	0	50
Time Burden (Hours)	133	0	16
Cost Burden (Dollars)	0	0	0

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Abstract: This voluntary "Sharing Form" will help the Food and Nutrition Information Center (FNIC) identify existing nutrition education and training resources for review and inclusion in an online database.

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Authorizing Statute(s): US Code: 7 USC Volume 1, Parts 0 to 26 Name of Law: Subtitle A - Ofice of the Secretary of Agriculture
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 62	04/01/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 169	09/02/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
State, Local & Tribal Government
Food Stamp Nutrition Connection Resource Sharing Form (Private)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	770	50	0	720	0	0
Annual Time Burden (Hours)	133	16	0	117	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of respondents increased from 50 to 170 and the number of responses increased from 50 to 770. The burden hours have increased from 16 to 132.5, which is a difference of 116.5. This is due to the expansion of the database to include SNAP-Ed-funded materials beyond nutrition education materials (brochures, impact reports, annual report examples, etc.).

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Annual Cost to Federal Government: $17,906

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/08/2014

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