WIC Farmers' Market Nutrition Program (FMNP) Forms and Regulations

Forms and Documents

Document Name	Status
Form FNS 203 WIC Farmers' Market Nutrition Program Report Form and Instruction	Modified
Form FNS 683 State Agency - Financial Report Form and Instruction	Modified
ATTACHMENT B.narrative.2011.doc Supplementary Document	2011-06-16
AttachmentC Burden Summary revised 6-29-11.xls Supplementary Document	2011-07-13
FMNP_Justification_2011_revised_7-28-11.docx Supporting Statement A	2011-07-28

IC Document Collections

IC ID	Document Title	Status
3064	WIC Farmers' Market Nutrition Program Report Form and Instruction	Modified
184656	State Agency - Financial Report Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0447	ICR Reference No: 201012-0584-004
Status: Historical Active	Previous ICR Reference No: 201006-0584-002
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: WIC Farmers' Market Nutrition Program (FMNP) Forms and Regulations
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: 09/05/2011
	Date Received in OIRA: 07/28/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved	09/30/2011
Responses	18,750	0	15,080
Time Burden (Hours)	23,917	0	19,972
Cost Burden (Dollars)	0	0	0

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Abstract: FMNP State agencies use the FNS-683 and FNS-203 to report financial and recipient data to FNS as required by 7 CFR 3016. FNS will use this data for funding and program management decisions.

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Authorizing Statute(s): US Code: 42 USC Chapter 13 Section 1786 Name of Law: Child Nutrition Act of 1966
  

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:
	76 FR 14371	03/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 142	07/25/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
WIC Farmers' Market Nutrition Program Report	FNS 203	WIC Farmers' Market Nutrition Program Report
State Agency - Financial Report	FNS 683	Financial Report

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ICR Summary 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	18,750	15,080	0	0	3,670	0
Annual Time Burden (Hours)	23,917	19,972	0	0	3,945	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: There is an annual increase in the number of authorization of 3,635 farmers' markets, 17,543 farmers, and 2,662 roadside stands authorized to accept FMNP coupons. As a result of these adjustments, the number of respondents increased from 6,475 to 7,992, the number of responses increased from 13,237 to 18,750 and the burden hours increased from 19,972 to 23,917 hours due to more applications to accept FMNP coupons submit annually.

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Annual Cost to Federal Government: $138,893

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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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: 07/28/2011

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