SNAP Nutrition Connection Resource Sharing Form 889

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FNS 889 SNAP Ed Connection Sharing Form	Form and Instruction	Modified	Available
Form FNS 889 Resource Sharing Form (State, Local & Tribal Government)	Form and Instruction	Modified	Repair queued
Form FNS Form 889 SNAP-Ed Connection Sharing Form	Form and Instruction	Modified	Available
Form FNS 889 Resource Sharing Form (Business - Private)	Form and Instruction	Modified	Repair queued
App. C - SNAP-Ed Connection Resource Sharing Form 889 Screenshots OMB Control Number 0584-0625 revised 5-23-24.pdf	Supplementary Document	Uploaded 2024-05-23	Repair queued
App. D - Excel Burden Estimate Table OMB Control Number 0584-0625 5.22.24 - clean.xlsx	Supplementary Document	Uploaded 2024-05-23	Repair queued
SNAP-Ed Connection Resource Sharing Form ICR - Supporting Statement Part A_ 0584-0625 clean 5.22.24 tracked.docx	Supporting Statement A	Uploaded 2024-05-23	Repair queued
App. C - SNAP-Ed Connection Resource Sharing Form 889 Screenshots OMB Control Number 0584-0625.pdf	Supplementary Document	Uploaded 2024-05-08	Repair queued
App. B - 7 CFR 272.2(d)(2) - Nutrition Education Plan OMB Control Number 0584-0625.pdf	Supplementary Document	Uploaded 2024-05-08	Missing upstream
App. A - Food and Nutrition Act (FNA), Section 28, as amended by the Agriculture Improvement Act of 2018 (7 U.S.C. 2036a) OMB Control Number 0584-062.pdf	Supplementary Document	Uploaded 2024-05-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182694	Resource Sharing Form (State, Local & Tribal Government)	Form and Instruction	Modified	SNAP Ed Connection Sharing Form
182694	Resource Sharing Form (State, Local & Tribal Government)	Form and Instruction	Modified
1016	Resource Sharing Form (Business - Private)	Form and Instruction	Modified	SNAP-Ed Connection Sharing Form
1016	Resource Sharing Form (Business - Private)	Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0625	ICR Reference No: 202404-0584-005
Status: Active	Previous ICR Reference No: 202104-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: SNAP Nutrition Connection Resource Sharing Form 889
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: 06/28/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/24/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	36 Months From Approved	06/30/2024
Responses	43	0	110
Time Burden (Hours)	18	0	18
Cost Burden (Dollars)	0	0	0

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Abstract: This voluntary "Sharing Form FNS 889" will help the Food and Nutrition Information Center (FNIC) identify existing nutrition education and training resources for review and inclusion in an online database.

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Authorizing Statute(s): PL: Pub.L. 113 - 128 28 Name of Law: The Food and Nutrition Act (FNA) 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:
	88 FR 85579	12/08/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 43800	05/20/2024
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
Resource Sharing Form (Business - Private)	FNS Form 889	SNAP-Ed Connection Sharing Form
Resource Sharing Form (State, Local & Tribal Government)	FNS 889	SNAP Ed Connection Sharing Form

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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	43	110	0	-67	0	0
Annual Time Burden (Hours)	18	18	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This revision reflects an overall lower annual burden estimate of 18.06 hours, which is a decrease from the current estimate of 18.37 hours, due to FNS no longer accepting interventions via this form. This revised collection is estimated to receive a total of 43 responses per year, which is a decrease from the current estimate of 110. The changes for these estimates are due to assumptions that this collection will receive less responses overall as interventions are no longer being accepted through this form. The estimated time per response for this voluntary collection is 0.42 hours (25 minutes), which is an increase from the current estimated time per response of 0.167 hours (10 minutes). The estimated increase in time per response is due to the change of submitting relevant attachments by email instead of through the database. The estimate is also based on the length of time to read the form instructions and respond to the survey due to changes made to the form itself.

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Annual Cost to Federal Government: $14,316

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.     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

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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: 05/24/2024

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