Food Security Status and Well-Being of Nutrition Assistance Program (NAP) Participants in Puerto Rico (New)

Forms and Documents

Document Name	Status
PR FS OMB PART B_05032022.docx Supporting Statement B	2022-05-04
Appendix T Total Public Burden Hours and Cost_05032022.xlsx Supplementary Document	2022-05-04
PR FS OMB PART A_05032022.docx Supporting Statement A	2022-05-04
S. Insight Policy Research Information Security and Confidentiality Pledge_11042021.docx Supplementary Document	2022-02-16
Appendix B Research Objectives and Questions by Data Source_01202022.docx Supplementary Document	2022-02-16
Appendix A Legal Authority_01202022.docx Supplementary Document	2022-02-16
Appendix R Institutional Review Board Approval Letter_01202022.docx Supplementary Document	2022-02-16
Appendix Q Privacy Office Comments and FNS Responses_02142022.docx Supplementary Document	2022-02-16
Appendix P2 SORN FNS-10 Persons Doing Business with FNS_01202022.docx Supplementary Document	2022-02-16
Appendix P1 SORN FNS-8 USDA Studies and Reports_01202022.docx Supplementary Document	2022-02-16
Appendix O Pretest Methods and Summary of Findings_01202022.docx Supplementary Document	2022-02-16
Appendix N NASS Comments and FNS Responses_02142022.docx Supplementary Document	2022-02-16
Appendix M Comments from TWG and FNS Responses_01202022.docx Supplementary Document	2022-02-16
Appendix L 60-day FRN_01202022.docx Supplementary Document	2022-02-16
Appendix H Use of Incentives_01202022.docx Supplementary Document	2022-02-16

IC Document Collections

IC ID	Document Title	Status
251638	Individuals or Households Non-Respondents Other-NON RESPONDENT PLACE HOLDER (1)	New
251637	Individuals or Households Respondents Other-Appendix E1 In-depth Interview Protocol_English_02142022	New
251636	Business or Other for Profit and Not-for-profit Non-Respondents Other-NON RESPONDENT PLACE HOLDER (1)	New
251635	Business or Other for Profit and Not-for-profit Respondents Other-Appendix K1 Recruitment Email Concept Map_02142022	New
251634	Puerto Rico Government Non-Respondents Other-NON RESPONDENT PLACE HOLDER	New
251633	Puerto Rico Government Respondents Other-Appendix J1 Email to ADSEF_01202022	New

ICR Details

OMB Control No:	ICR Reference No: 202201-0584-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Security Status and Well-Being of Nutrition Assistance Program (NAP) Participants in Puerto Rico (New)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/10/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	63,703	0
Time Burden (Hours)	4,994	0
Cost Burden (Dollars)	0	0

---

Abstract: This study will measure food security status, health status, and well-being of Puerto Rico residents, including NAP participants and low-income non-participants, and examine the household, social, and systemic context of food security in general and in the aftermath of natural disasters.

---

Authorizing Statute(s): PL: Pub.L. 115 - 72 309 Name of Law: Sec. 105. Study. Survey. Puerto Rico
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 40447	07/28/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 27984	05/10/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Business or Other for Profit and Not-for-profit Non-Respondents
Business or Other for Profit and Not-for-profit Respondents
Individuals or Households Non-Respondents
Individuals or Households Respondents
Puerto Rico Government Non-Respondents
Puerto Rico Government Respondents

---

ICR Summary of Burden

	Total Request	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	63,703	0	0	63,703	0	0
Annual Time Burden (Hours)	4,994	0	0	4,994	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: This submission is a new information collection request as a result of program changes, and will add 4994 total burden hours and 63,703 total annual responses to the OMB information collection inventory.

---

Annual Cost to Federal Government: $1,142,168

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

---

Common Form ICR:  No

---

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: 05/10/2022

---