Evaluation of Food Insecurity Nutrition Incentives (FINI)

Forms and Documents

Document Name	Status
0616 FINI Updated Burden Justification 11.7.17.docx Justification for No Material/Nonsubstantive Change	2017-11-07
RE FINI Section A.9 and Responses to OIRA's Questions.msg Supplementary Document	2016-11-04
Justification for Cash Survey Participation Incentive 04 21 2016.docx Supplementary Document	2016-04-22
Appendix AL.2. NASS Comments and Westat Responses.docx Supplementary Document	2016-04-22
Appendix AL.1. NASS Comments.docx Supplementary Document	2016-04-22
Supporting Statement Part A for Evaluation of the FINI FINAL CLEAN 11-1-2016-230pm.docx Supporting Statement A	2016-11-02
Appendix AN - IRBapproval.letter.docx Supplementary Document	2016-03-15
Appendix AM - Confidentiality & Nondisclosure Agreement.docx Supplementary Document	2016-03-15
Burden Table for Evaluation of the Food Insecurity Nutrition Incentives 2-23-16 PRAO2nd round recommendations applied to this 3rd round 3-2-16.xlsx Supplementary Document	2016-03-09
Appendix C. FINI Independent Evaluation SOO.pdf Supplementary Document	2016-03-02
Appendix B.2 FINI RFA - 2016.pdf Supplementary Document	2016-03-02
Appendix B.1 FINI RFA - 2015.pdf Supplementary Document	2016-03-02
Appendix AK.1. FINI FRN notice 2015-22782.pdf Supplementary Document	2016-03-02
Appendix A. Authorizing Legislation.pdf Supplementary Document	2016-03-02
Supporting Statement Part B for Evaluation of the Food Insecurity Nutrition Incentives FINAL CLEAN 11-1-2016at230pm.docx Supporting Statement B	2016-11-02

IC Document Collections

IC ID	Document Title	Status
219872	Non-Respondents: Grantees and Administrators/ Retailers/Local Community Org. Staff Other-Non Respondent Placeholder	Unchanged
219871	Business Respondents: Grantees and Administrators/ Retailers/Local Community Org. Staff Other-Appendix AD.1. Quarterly Core Program Data Form - English	Unchanged
219870	Grantees and Administrators (SLT Gov) Respondents Other-Appendix AD.1. Quarterly Core Program Data Form - English	Unchanged
219829	Non-Respondents (Individual/Household) SNAP Participants Other-Non Respondent Placeholder	Unchanged
219828	Respondents Individual/Households (SNAP Participants) Other-Appendix AO. Pretest protocol for 2 items in SNAP Particip	Unchanged

ICR Details

OMB Control No: 0584-0616	ICR Reference No: 201711-0584-001
Status: Historical Active	Previous ICR Reference No: 201508-0584-003
Agency/Subagency: USDA/FNS	Agency Tracking No: Change Justification
Title: Evaluation of Food Insecurity Nutrition Incentives (FINI)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/08/2018
	Date Received in OIRA: 11/08/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	11/30/2019	11/30/2019
Responses	65,457	0	65,457
Time Burden (Hours)	4,501	0	4,501
Cost Burden (Dollars)	0	0	0

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Abstract: The objective of this collection is to measure changes in fruit and vegetable purchases and consumption, food security, and perceived diet quality and health status among SNAP participants who receive incentives through FINI grant projects awarded in FY 2015 and FY 2016.

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Authorizing Statute(s): PL: Pub.L. 113 - 79 4405 Name of Law: The Agriculture Act of 2014
  

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 54512	09/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 27391	05/06/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Respondents Individual/Households (SNAP Participants)
Non-Respondents (Individual/Household) SNAP Participants
Grantees and Administrators (SLT Gov) Respondents
Business Respondents: Grantees and Administrators/ Retailers/Local Community Org. Staff
Non-Respondents: Grantees and Administrators/ Retailers/Local Community Org. Staff

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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	65,457	65,457	0	0	0	0
Annual Time Burden (Hours)	4,501	4,501	0	0	0	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:

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Annual Cost to Federal Government: $872,125

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: 11/08/2017

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