Food Stamp Nutrition Connection Resource Sharing Form

Forms and Documents

Document Name	Status
Form FNS 889 Resource Sharing Form (State, Local & Tribal Government) Form and Instruction	Modified
Form FNS 889 Resource Sharing Form (Business - Private) Form and Instruction	Modified
Attachment 2-Excel Burden Estimates.docx Supplementary Document	2017-10-25
0625 exp Oct 2017 SNAP-Ed Connection Sharing Form Supporting Statement final 3-30-18.docx Supporting Statement A	2018-04-24

IC Document Collections

IC ID	Document Title	Status
182694	Resource Sharing Form (State, Local & Tribal Government) Form and Instruction	Modified
1016	Resource Sharing Form (Business - Private) Form and Instruction	Modified

ICR Details

OMB Control No: 0584-0625	ICR Reference No: 201710-0584-004
Status: Active	Previous ICR Reference No: 201705-0584-008
Agency/Subagency: USDA/FNS	Agency Tracking No:
Title: Food Stamp Nutrition Connection Resource Sharing Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/24/2018
	Date Received in OIRA: 10/30/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved	04/30/2018
Responses	110	0	770
Time Burden (Hours)	18	0	133
Cost Burden (Dollars)	0	0	0

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Abstract: This voluntary "Sharing Form" will help the Food and Nutrition Information Center (FNIC) identify existing nutrition education and training resources for review and inclusion in an online database.

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Authorizing Statute(s): PL: Pub.L. 113 - 128 28 Name of Law: The Food and Nutrition Act (FNA) of 2008
  

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:
	82 FR 39404	08/18/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 49781	10/27/2017
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Resource Sharing Form (State, Local & Tribal Government)	FNS 889	SNAP Ed Connection Sharing Form
Resource Sharing Form (Business - Private)	FNS 889	SNAP Ed Connection Sharing Form

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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	110	770	0	0	-660	0
Annual Time Burden (Hours)	18	133	0	0	-115	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: This is a revision of a currently approved information collection request. The National Agriculture Library originally hosted the SNAP-Ed Connection site, but in 2015, the SNAP-Ed Connection website was transferred to FNS. The current burden hours requested is 133 burden hours and 770 total annual responses; FNS is requesting 18.37 burden hours and 110 total annual responses. This revision reflects decreases of -115 hours and -660 total annual response which is due to an adjustment which from a decrease in the expected number of submissions to the site.

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Annual Cost to Federal Government: $22,125

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

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.     No

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? 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: 10/30/2017

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