National 4-H Conference Registration Form, Leadership Position Interest Form, and Scholarship Interest Form

Forms and Documents

Document Name	Status
Form 0524-NEW National 4-H Conference Registration Form, Leadership Position Interest Form, and Scholarship Interest Form Form	New
0524-NEW 4-H Conference Forms Supp. Stmt. A 12.11.23v2.docx Supporting Statement A	2023-12-11

IC Document Collections

IC ID	Document Title	Status
263877	National 4-H Conference Registration Form, Leadership Position Interest Form, and Scholarship Interest Form Form	New

ICR Details

OMB Control No:	ICR Reference No: 202312-0524-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/NIFA	Agency Tracking No:
Title: National 4-H Conference Registration Form, Leadership Position Interest Form, and Scholarship Interest Form
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/13/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	400	0
Time Burden (Hours)	700	0
Cost Burden (Dollars)	0	0

---

Abstract: This is a new information collection intended to support the successful planning and delivery of activities associated with the National 4-H Conference. The information collection is essential to provide the necessary instructions and paperwork to eligible registrants who would like to attend, serve in a leadership role, or receive scholarship funding at the National 4–H Conference.

---

Authorizing Statute(s): PL: Pub.L. 110 - 246 7511(f)(2) Name of Law: Food, Conservation, and Energy 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:
	88 FR 12910	03/01/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 86316	12/13/2023
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
National 4-H Conference Registration Form, Leadership Position Interest Form, and Scholarship Interest Form	0524-NEW, 0524-NEW, 0524-NEW	National 4-H Conference Registration Form ,   National 4-H Conference Leadership Interest Form ,   National 4-H Conference Scholarship Form

---

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	400	0	0	400	0	0
Annual Time Burden (Hours)	700	0	0	700	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 an existing collection in use without a valid OMB control number. NIFA grant programs support the annual 4-H Conference, which requires the registration forms in this collection. In the process of reviewing the current 4-H procedures, it was discovered that NIFA did not have an approved OMB Control number for the required conference registration forms. As soon as this became apparent, NIFA immediately began the ICR process to bring this information collection into compliance with the PRA.

---

Annual Cost to Federal Government: $25,690

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: 12/13/2023

---