Farm and Food Workers Relief Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Accounting System and Financial Capability Questionnaire	Form and Instruction	Unchanged	Repair queued
Project Beneficiaries Questionnaire	Form and Instruction	Unchanged	Repair queued
Negotiated Indirect Cost Agreement	Form and Instruction	Unchanged	Repair queued
FFWR narrative Submission	Form and Instruction	Unchanged	Repair queued
Peer Reviewer AMS Grant Program Score Sheet	Form and Instruction	Unchanged	Available
Peer Reviewer Application and Qualification Form	Form and Instruction	Unchanged	Repair queued
Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	Repair queued
Final Performance Report	Form and Instruction	Unchanged	Repair queued
Interim Performance Report	Form and Instruction	Unchanged	Repair queued
Amendment Request	Form	Unchanged	Repair queued
AMS Grants Terms and Conditions	Form and Instruction	Unchanged	Repair queued
Form AMS-33 Notice of Award and Grant Agreement	Form and Instruction	Unchanged	Repair queued
Request For Application	Form and Instruction	Unchanged	Available
Standard all Grant Programs	Form and Instruction	Unchanged	Available
AMS-71_Farmworker - Renewal.xls	Supplementary Document	Uploaded 2022-02-17	Repair queued
FFWR Supporting Statement renewal.docx	Supporting Statement A	Uploaded 2022-02-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	Accounting System and Financial Capability Questionnaire
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	Project Beneficiaries Questionnaire
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	Negotiated Indirect Cost Agreement
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	FFWR narrative Submission
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	Peer Reviewer AMS Grant Program Score Sheet
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged	Peer Reviewer Application and Qualification Form
249631	Farm and Food Workers and Relief Program Only	Form and Instruction	Unchanged
249630	Standard all Grant Programs	Form and Instruction	Unchanged	Final Performance Report
249630	Standard all Grant Programs	Form and Instruction	Unchanged	Interim Performance Report
249630	Standard all Grant Programs	Form	Unchanged	Amendment Request
249630	Standard all Grant Programs	Form and Instruction	Unchanged	AMS Grants Terms and Conditions
249630	Standard all Grant Programs	Form and Instruction	Unchanged	Notice of Award and Grant Agreement
249630	Standard all Grant Programs	Form and Instruction	Unchanged	Request For Application
249630	Standard all Grant Programs	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0581-0331	ICR Reference No: 202202-0581-001
Status: Active	Previous ICR Reference No: 202110-0581-001
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: Farm and Food Workers Relief Grant Program
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: 09/06/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/23/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved	08/31/2023
Responses	924	0	924
Time Burden (Hours)	1,726	0	1,726
Cost Burden (Dollars)	0	0	0

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Abstract: Supports eligible entities including State agencies, Tribal entities, and nonprofits with tax exempt status that have experience in providing support or relief services to farmworkers, meatpacking workers, or grocery store workers.

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Authorizing Statute(s): PL: Pub.L. 116 - 260 751 Name of Law: the Consolidated Appropriations Act of 2021
  

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:
	86 FR 57633	10/18/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 10170	02/23/2022
Did the Agency receive public comments on this ICR? No

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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
Farm and Food Workers and Relief Program Only	None, None, None, None, none, None	Peer Reviewer Application and Qualification Form ,   Peer Reviewer AMS Grant Program Score Sheet ,   FFWR narrative Submission ,   Negotiated Indirect Cost Agreement ,   Project Beneficiaries Questionnaire ,   Accounting System and Financial Capability Questionnaire
Standard all Grant Programs	None, None, AMS-33, None, None, None	Request For Application ,   Notice of Award and Grant Agreement ,   AMS Grants Terms and Conditions ,   Amendment Request ,   Interim Performance Report ,   Final Performance Report

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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	924	924	0	0	0	0
Annual Time Burden (Hours)	1,726	1,726	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $489,320

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.     No

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.     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? Yes

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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: 02/23/2022

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