Assessment of Administrative Costs of Electronic Healthy Incentives Projects (eHIP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
eHIP 5.4 Revised 2 OMB SSA_102224b_clean.docx	Supporting Statement A	Uploaded 2024-10-23	Missing upstream
22_U. Total Public Burden Hours and Cost.xlsx	Supplementary Document	Uploaded 2024-10-23	Repair queued
eHIP 5.4 Revised 3 OMB SSB_102224_clean.docx	Supporting Statement B	Uploaded 2024-10-22	Repair queued
24_W. Pretest Methods and Summary of Findings.docx	Supplementary Document	Uploaded 2024-10-22	Repair queued
21_T. Westat Information Security and Confidentiality Pledge.docx	Supplementary Document	Uploaded 2024-10-22	Repair queued
20_S. Institutional Review Board Approval Letter.pdf	Supplementary Document	Uploaded 2024-10-22	Repair queued
19_R. Response to Comments from NASS.docx	Supplementary Document	Uploaded 2024-10-22	Missing upstream
18_Q. Comments from NASS.docx	Supplementary Document	Uploaded 2024-10-22	Repair queued
03_C. Project Summary - fns.docx	Supplementary Document	Uploaded 2024-10-22	Repair queued
02_B. Research Objectives and Questions Crosswalk.docx	Supplementary Document	Uploaded 2024-10-22	Repair queued
01_A. Legal Authority.docx	Supplementary Document	Uploaded 2024-10-22	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
271790	Businesses	Other-09_I.Electronic Letter with Request to Schedule Interview	New
271789	State and Local Government	Other-04_D. Electronic Letter to States with Data Request	New

ICR Details

OMB Control No:	ICR Reference No: 202410-0584-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Assessment of Administrative Costs of Electronic Healthy Incentives Projects (eHIP)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/25/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	362	0
Time Burden (Hours)	198	0
Cost Burden (Dollars)	0	0

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Abstract: This study will calculate the cost of administering e-HIP in three States to determine the startup and ongoing costs of delivering financial incentives for purchasing qualifying foods (e.g., fruits and vegetables) at point of purchase to SNAP households through electronic benefit transfer (EBT) integration.

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Authorizing Statute(s): None

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:
	89 FR 23545	04/04/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 92866	11/25/2024
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
Businesses
State and Local Government

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ICR Summary of Burden

table that charts list 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	362	0	0	362	0	0
Annual Time Burden (Hours)	198	0	0	198	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 submission is a new information collection request and will add 198 hours of burden and 362 annual responses to OMB’s inventory.

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Annual Cost to Federal Government: $245,712

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: 11/25/2024

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