Study of the Food Distribution Program on Indian Reservations (FDPIR)

Forms and Documents

Document Name	Status
FNS - FDPIR Study Response.docx Supplementary Document	2013-07-23
ATTACHMENT A - Research Questions and Data Sources Table.docx Supplementary Document	2013-04-04
ATTACHMENT H - Outreach Process.docx Supplementary Document	2013-04-04
ATTACHMENT G - List of Sampled FDPIR Sites.docx Supplementary Document	2013-04-04
ATTACHMENT F - Median Hourly Wage Rates by Occupation.docx Supplementary Document	2013-04-04
Attachment E -Burden 4-18-13 (1).docx Supplementary Document	2013-04-18
ATTACHMENT D3 - Staff Confidentiality Pledge.doc Supplementary Document	2013-04-04
ATTACHMENT D2 - NORC IRB Package.pdf Supplementary Document	2013-04-04
ATTACHMENT D1 - UI IRB Package.pdf Supplementary Document	2013-04-04
ATTACHMENT C -NASS Comments and Responses.docx Supplementary Document	2013-04-04
Supporting Statement Part A rev 7-10-13.docx Supporting Statement A	2013-07-23
Supporting Statement Part B 4-01-13.docx Supporting Statement B	2013-04-03

IC Document Collections

IC ID	Document Title	Status
206347	FDPIR Tribal Leaders, Managers, Staff (State/Local/ Tribal Government) Other-ATTACHMENT B1a - Case Record Review.docx	New
206345	Non- Respondents: FDPIR Participants (Individuals/Househoulds) Other-Non-Respondent Place Holder	New
206343	FDPIR Participants (Individuals/Househoulds) Other-ATTACHMENT B5c - Discussion Group Participant Gift Confirm	New

ICR Details

OMB Control No: 0584-0583	ICR Reference No: 201304-0584-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Study of the Food Distribution Program on Indian Reservations (FDPIR)
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: 08/06/2013
	Date Received in OIRA: 04/24/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved
Responses	7,773	0	0
Time Burden (Hours)	1,468	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a national, representative study of the Food Distribution Program on Indian reservations (FDPIR) and its participants. The Study is needed to help FNS make decisions regarding FDPIR program administration and identify ways to make the program more beneficial to participants. It will provide current information on the characteristics of participants and local program administration.

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Authorizing Statute(s): US Code: 7 USC 253 Name of Law: Administration of the Food Distribution Program for Households on Indian Reservations
   US Code: 7 USC 254 Name of Law: Administration of the Food Distribution Program for Indian Households in Oklahoma
  

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:
	77 FR 28351	05/14/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 77	04/22/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Non- Respondents: FDPIR Participants (Individuals/Househoulds)
FDPIR Tribal Leaders, Managers, Staff (State/Local/ Tribal Government)
FDPIR Participants (Individuals/Househoulds)

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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	7,773	0	0	7,773	0	0
Annual Time Burden (Hours)	1,468	0	0	1,468	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 as a result of program changes and will add 1,468 hours of burden to OMB's inventory.

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Annual Cost to Federal Government: $809,708

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 04/24/2013

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