Evaluation of the Summer Food Service Program (SFSP) Participant Characteristics

Forms and Documents

Document Name	Status
Appendix C2 Confidentiality Agreement.docx Supplementary Document	2014-06-09
Appendix J1 FNS Regional Letter.docx Supplementary Document	2014-04-23
SFSP OMB Supporting Statement for Clearance to Conduct Surveys and Interviews Part A-1 s 6-5-14.docx Supporting Statement A	2014-06-17
SFSP AG_3198_C_13_0016 OMB Supporting Statement for Clearance to Conduct Surveys and Interviews Part B.docx Supporting Statement B	2014-04-23
Appendix M1 Comments from John Richards, Mathematical Statistician NASS.docx Supplementary Document	2014-04-23
Appendix D1 Deliverable Schedule.docx Supplementary Document	2014-04-23
Appendix C1 Data Management Security Protocols.docx Supplementary Document	2014-04-23
Appendix B1 SFSP Informational Brochure .pdf Supplementary Document	2014-04-23

IC Document Collections

IC ID	Document Title	Status
211373	Non Respondents State Agencies Other-Non Respondent Placeholder	New
211314	Parents: Non Respondents SFSP Participants and Non Participants Other-Non Respondents Placeholder	New
211313	Non Respondents Sponsors and Sites Other-Non Respondent Placeholder	New
211309	Parents Other-Appendix H1 Parent, Caregiver Interview Guide Nonparticipa	New
211308	Sponsors and Sites Other-Appendix F1 Sponsor Survey Instrument	New
211307	State Agencies (Schools) Other-Appendix A1 Online Survey Screen Shots	New

ICR Details

OMB Control No: 0584-0595	ICR Reference No: 201404-0584-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Evaluation of the Summer Food Service Program (SFSP) Participant Characteristics
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 without change	Conclusion Date: 08/19/2014
	Date Received in OIRA: 06/18/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved
Responses	12,242	0	0
Time Burden (Hours)	2,636	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: To identify barriers and facilitators to program participation by sponsors, sites, and eligible children. It will use it to determine future changes in SFSP policy to improve program participation, operations and outcomes needed to address circumstances that may have changed since the last evaluation of the program in 2010.

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Authorizing Statute(s): PL: Pub.L. 111 - 296 305 Name of Law: The Healthy, Hunger-Free Kids Act of 2010
  

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:
	79 FR 92	01/02/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 116	06/17/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Non Respondents State Agencies
Non Respondents Sponsors and Sites
Parents: Non Respondents SFSP Participants and Non Participants
State Agencies (Schools)
Sponsors and Sites
Parents

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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	12,242	0	0	12,242	0	0
Annual Time Burden (Hours)	2,636	0	0	2,636	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 project is a new collection of information as a result of program changes will add 2,636 burden hours to the OMB Burden Inventory.

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Annual Cost to Federal Government: $451,415

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: 06/18/2014

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