Application for Temporary Food Establishment

Forms and Documents

Document Name	Status
Form DD Form 2970 Application for Temporary Food Establishment Form and Instruction	New
Supporting Statement A- Application for Temporary Food Establishment revised item#9-(7Oct15).DOC Supporting Statement A	2015-12-11
RE_ Application for Temporary Food Establishment.pdf Supplementary Document	2015-12-11
TB MED 530 excerpt.PDF Supplementary Document	2015-12-11
NAVMED P-117 excerpt.PDF Supplementary Document	2015-12-11
DODI 5015_02 excerpt.PDF Supplementary Document	2015-12-11
DODD 6400_04E excerpt.PDF Supplementary Document	2015-12-11
DA PAM 40-11 excerpt.PDF Supplementary Document	2015-12-11
2013 FDA Food Code excerpt.PDF Supplementary Document	2015-12-11

IC Document Collections

IC ID	Document Title	Status
219247	Application for Temporary Food Establishment Form and Instruction	New

ICR Details

OMB Control No: 0702-0132	ICR Reference No: 201512-0702-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DOA	Agency Tracking No:
Title: Application for Temporary Food Establishment
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/11/2016
	Date Received in OIRA: 12/11/2015
Terms of Clearance: This collection must be reported as a violation in the Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved
Responses	91	0	0
Time Burden (Hours)	23	0	0
Cost Burden (Dollars)	531	0	0

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Abstract: Information is a one-time submission by a food vendor requesting to operate a food establishment on a military installation. Approval to operate the food establishment is determined by the installation's medical authority; preventive medicine (public health) uses the information as part of a pre-operational assessment to determine if the vendor meets prescribed DoD food safety requirements. Food vendors who are deemed inadequately prepared or equipped to provide safe food service are disapproved for operating on the installation.

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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:
	80 FR 34149	06/15/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 75859	12/04/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Temporary Food Establishment	DD Form 2970	Application for Temporary Food Establishment

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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	91	0	0	91	0	0
Annual Time Burden (Hours)	23	0	0	23	0	0
Annual Cost Burden (Dollars)	531	0	0	531	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 is an existing collection in use without an OMB control number.

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Annual Cost to Federal Government: $1,571

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: 12/11/2015

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