Understanding the Relationship Between Poverty, Well-Being, and Food Security (NEW)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Y. Burden Table.xlsx	Supplementary Document	Uploaded 2023-02-07	Repair queued
SSA_Persistent Poverty.docx	Supporting Statement A	Uploaded 2023-02-07	Repair queued
X. IRB Approval Letter.pdf	Supplementary Document	Uploaded 2023-01-27	Repair queued
W. Confidentiality Agreement.pdf	Supplementary Document	Uploaded 2023-01-27	Repair queued
V2. FNS-10 USDA-FNS Persons Doing Business with FNS.pdf	Supplementary Document	Uploaded 2023-01-27	Repair queued
V1. FNS-8 USDA-FNS Studies and Reports.pdf	Supplementary Document	Uploaded 2023-01-27	Repair queued
U. Incentives and Response Rates.docx	Supplementary Document	Uploaded 2023-01-27	Repair queued
T8. NASS Comments and FNS Response.docx	Supplementary Document	Uploaded 2023-01-27	Repair queued
A. Legal Authority.pdf	Supplementary Document	Uploaded 2023-01-27	Repair queued
SSB_Persistent Poverty.docx	Supporting Statement B	Uploaded 2023-01-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
258102	State, Local, or Tribal Government Non-Respondents	Other-NON RESPONDENT PLACE HOLDER	New
258101	State, Local, or Tribal Government	Other-B. SNAP Agency Data Request	New
258100	Business Non-Respondents	Other- NON RESPONDENT PLACE HOLDER	New
258099	Business	Other-Q1. Focus Group Consent Form	New
258098	Individuals and Households Non-Respondents	Other- NON RESPONDENT PLACE HOLDER	New
258097	Individuals and Households	Other-D. Study Brochure (English-Spanish)	New

ICR Details

OMB Control No: 0584-0682	ICR Reference No: 202211-0584-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Understanding the Relationship Between Poverty, Well-Being, and Food Security (NEW)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/18/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/16/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	36 Months From Approved
Responses	130,601	0	0
Time Burden (Hours)	7,792	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Through this primary data collection effort, FNS seeks to understand the interrelated factors that lead to household food insecurity. Data will be collected in six counties experiencing persistent poverty, which are particularly disadvantaged compared to other counties. In-depth interviews will be held with a selection of respondents and focus groups with community organizations.

---

Authorizing Statute(s): PL: Pub.L. 116 - 94 17 Name of Law: The Food and Nutrition Act of 2008
  

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:
	87 FR 61561	10/12/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10075	02/16/2023
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Business
Business Non-Respondents
Individuals and Households
Individuals and Households Non-Respondents
State, Local, or Tribal Government
State, Local, or Tribal Government Non-Respondents

---

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	130,601	0	0	130,601	0	0
Annual Time Burden (Hours)	7,792	0	0	7,792	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 is a new collection of information estimated to add 7,792 total annual burden hours and 130,601 annual responses to the OMB information collection inventory as a result of program changes.

---

Annual Cost to Federal Government: $1,455,614

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.     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: 02/16/2023

---