Generic Clearance to Conduct Formative Research or Development of Nutrition Education and Promotion Materials and Related Tools and Grants for FNS Population Groups

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS-814 FNS Visitor Form	Form	New	Available
Form FNS-854 Attendee Evaluation Form	Form	New	Available
Form FNS-817 Level 3 Event Feedback Form	Form	New	Repair queued
Form FNS-816 Level 1 Event Feedback Form	Form	New	Available
Form FNS-816 Consumer Research for Nutrition Education and Promotion Activities - Business	Form	New	Repair queued
Form FNS-814 FNS Visitor Form	Form	New	Available
Form FNS-854 Attendee Evaluation Form	Form	New	Available
Form FNS-817 Level 3 Event Feedback Form	Form	New	Available
Form FNS-816 Level 1 Event Feedback Form	Form	New	Available
Form FNS-808 Power Panther Costume Event Feedback Form	Form	New	Available
Form FNS-807 Power Panther Costume Request and Agreement Form	Form	New	Available
Form FNS-781 Team Nutrition School Enrollment Web Form	Form	New	Available
Form FNS-781 Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Repair queued
0584-0524 Supporting Statement Part A for Generic Clearance Dec 2022.docx	Supporting Statement A	Uploaded 2022-12-08	Repair queued
0584-0524 Supporting Statement Part B for Generic Clearance Dec 2022.docx	Supporting Statement B	Uploaded 2022-12-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
263395	USDA FNS Summer Nutrition Program Campaign Concept Testing Survey (Stakeholders)	Other-Attachment A Survey Invitation	New
263394	USDA FNS Summer Nutrition Program Campaign Concept Testing Survey (Parents/Guardians)	Other-Attachment A Survey Invitation	New
263383	WIC Participant and Program Characteristics Study 2024 and 2026	Other-A. PC 2024 Task 4.1 Draft Guidance	New
263382	USDA MyPlate National Outreach Campaign	Other-Attachment A-1 Survey English	New
261260	Baseline Collection of WIC Brand Health and Messaging	Other-Attachment A-1 Survey Invitation (English)	New
256975	Produce Safety University Course Feedback and Program Impact Data	Other-Appendix A_ 2020 PSU Welcome Questions_11-22	New
256751	Consumer Research for Nutrition Education and Promotion Activities - Business	Form	New	FNS Visitor Form
256751	Consumer Research for Nutrition Education and Promotion Activities - Business	Form	New	Attendee Evaluation Form
256751	Consumer Research for Nutrition Education and Promotion Activities - Business	Form	New	Level 3 Event Feedback Form
256751	Consumer Research for Nutrition Education and Promotion Activities - Business	Form	New	Level 1 Event Feedback Form
256751	Consumer Research for Nutrition Education and Promotion Activities - Business	Form	New
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	FNS Visitor Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Attendee Evaluation Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Level 3 Event Feedback Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Level 1 Event Feedback Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Power Panther Costume Event Feedback Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Power Panther Costume Request and Agreement Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New	Team Nutrition School Enrollment Web Form
256749	Consumer Research for Nutrition Education and Promotion Activities - SLT	Form	New

ICR Details

OMB Control No: 0584-0524	ICR Reference No: 202211-0584-002
Status: Historical Active	Previous ICR Reference No: 202209-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No: Renewal 2022
Title: Generic Clearance to Conduct Formative Research or Development of Nutrition Education and Promotion Materials and Related Tools and Grants for FNS Population Groups
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/13/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/14/2022
Terms of Clearance: Prior to the next renewal, FNS will review all individual ICs currently associated with this generic and convert any recurring ICs into standalone ICRs, in consultation with OIRA . This generic is intended for one-time only collections.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved	02/28/2023
Responses	120,710	0	120,710
Time Burden (Hours)	46,823	0	46,823
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is necessary to obtain input into the development of nutrition education resources and interventions for population groups served by the Food and Nutrition Service (FNS). FNS will also use this information collection to obtain data that will be used to determine the scope and direction of various types of grants.

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Authorizing Statute(s): PL: Pub.L. 109 - 85 19 Name of Law: Child Nutrition Act of 1966
   US Code: 42 USC 1754 (Section 5) Name of Law: Richard B. Russell National School Lunch Act
   US Code: 7 USC 2020 (Section 11(f)) Name of Law: Food and Nutrition Act of 2008
  

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:
	87 FR 58769	09/28/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 76452	12/14/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Baseline Collection of WIC Brand Health and Messaging
Consumer Research for Nutrition Education and Promotion Activities - Business	FNS-817, FNS-814, FNS-816, FNS-854	Level 1 Event Feedback Form ,   Level 3 Event Feedback Form ,   Attendee Evaluation Form ,   FNS Visitor Form
Consumer Research for Nutrition Education and Promotion Activities - SLT	FNS-781, FNS-807, FNS-808, FNS-816, FNS-817, FNS-854, FNS-814	Team Nutrition School Enrollment Web Form ,   Power Panther Costume Request and Agreement Form ,   Power Panther Costume Event Feedback Form ,   Level 1 Event Feedback Form ,   Level 3 Event Feedback Form ,   Attendee Evaluation Form ,   FNS Visitor Form
Produce Safety University Course Feedback and Program Impact Data
USDA FNS Summer Nutrition Program Campaign Concept Testing Survey (Parents/Guardians)
USDA FNS Summer Nutrition Program Campaign Concept Testing Survey (Stakeholders)
USDA MyPlate National Outreach Campaign
WIC Participant and Program Characteristics Study 2024 and 2026

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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	120,710	120,710	0	0	0	0
Annual Time Burden (Hours)	46,823	46,823	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: $500,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     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? No

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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: 12/14/2022

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