Dairy Donation Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HR-EZ Reimbursement Claim Form	Form and Instruction	Modified	Repair queued
Form DDP-RC Reimbursement Claim Form	Form and Instruction	Modified	Available
Form DDP-C Eligible Distributor Certification Form	Form and Instruction	Modified	Repair queued
Form DDP-P Dairy Donation and Distribution Plan	Form and Instruction	Modified	Repair queued
Form DDP-P Dairy Donation Program	Form and Instruction	Modified	Repair queued
AMS-71 DDP UPDATED.xlsx	Supplementary Document	Uploaded 2022-03-16	Repair queued
0581-New DDP_SS_FINAL UPDATED.docx	Supporting Statement A	Uploaded 2022-03-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247737	Dairy Donation Program	Form and Instruction	Modified	Reimbursement Claim Form
247737	Dairy Donation Program	Form and Instruction	Modified	Reimbursement Claim Form
247737	Dairy Donation Program	Form and Instruction	Modified	Eligible Distributor Certification Form
247737	Dairy Donation Program	Form and Instruction	Modified	Dairy Donation and Distribution Plan
247737	Dairy Donation Program	Form and Instruction	Modified

ICR Details

OMB Control No: 0581-0327	ICR Reference No: 202203-0581-002
Status: Active	Previous ICR Reference No: 202106-0581-001
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: Dairy Donation 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: 10/24/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/29/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	36 Months From Approved	10/31/2023
Responses	1,815	0	1,890
Time Burden (Hours)	2,790	0	2,865
Cost Burden (Dollars)	0	0	0

---

Abstract: To encourage the efficient distribution of dairy products to families and individuals, while reducing food waste.

---

Authorizing Statute(s): PL: Pub.L. 116 - 260 762 Name of Law: Consolidated Appropriations Act of 2021
  

Citations for New Statutory Requirements: PL: Pub.L. 116 - 260 762 Name of Law: Consolidated Appropriations Act of 2021

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0581-AE00	Final or interim final rulemaking	86 FR 48887	09/01/2021

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 48887	09/01/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 17975	03/29/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Dairy Donation Program	DDP-P, DDP-C, DDP-RC, HR-EZ	Dairy Donation and Distribution Plan ,   Eligible Distributor Certification Form ,   Reimbursement Claim Form ,   Reimbursement Claim Form

---

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	1,815	1,890	0	-75	0	0
Annual Time Burden (Hours)	2,790	2,865	0	-75	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The Interim Final Rule detailed that the HR-EZ form should be filed for every month of manufacturing for donated eligible dairy products. After administering the program for six months and receiving a relevant comment, we have decided to further reduce burden by requiring the HR-EZ form to only be submitted once.

---

Annual Cost to Federal Government: $1,276,564

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

---

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: 03/29/2022

---