National Hunger Clearinghouse Database Forms (FNS 543)

Forms and Documents

Document Name	Status
Form FNS-543 National Hunger Clearinghouse Database Form FNS 543 (BUS) Form	Modified
Form FNS-543A Summer Feeding - National Hunger Clearinghouse Excel Form FNS 543A State Agencies Form	Removed
Appendix A1 - Legal Authority Sec 26 for 0584- 0474 Aug 17 18 .docx Supplementary Document	2018-10-09
Final Draft FNS-543 USDA National Hunger Clearinghouse Database Form - Clean3 EGA edits 9-12-18.docx Supporting Statement A	2018-10-09

IC Document Collections

IC ID	Document Title	Status
3074	National Hunger Clearinghouse Database Form FNS 543 (BUS) Form	Modified
210060	Summer Feeding - National Hunger Clearinghouse Excel Form FNS 543A State Agencies Form	Removed

ICR Details

OMB Control No: 0584-0474	ICR Reference No: 201804-0584-001
Status: Active	Previous ICR Reference No: 201604-0584-001
Agency/Subagency: USDA/FNS	Agency Tracking No: Removal FNS 543A
Title: National Hunger Clearinghouse Database Forms (FNS 543)
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: 02/25/2019
	Date Received in OIRA: 10/09/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved	02/28/2019
Responses	600	0	655
Time Burden (Hours)	50	0	160
Cost Burden (Dollars)	0	0	0

---

Abstract: To maintain and further develop the National Hunger Clearinghouse (NHC). NHC database information is updated yearly through the use of the simple database forms FNS 543 and 543-A.

---

Authorizing Statute(s): PL: Pub.L. 103 - 448 123 Name of Law: National School Lunch Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 24718	05/30/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 50631	10/09/2018
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
National Hunger Clearinghouse Database Form FNS 543 (BUS)	FNS-543	NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM
Summer Feeding - National Hunger Clearinghouse Excel Form FNS 543A State Agencies	FNS-543A	Summer Feeding - National Hunger Clearinghouse Excel Form

---

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	600	655	0	-55	0	0
Annual Time Burden (Hours)	50	160	0	-60	-50	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision of a currently approved collection. The current OMB burden inventory for the FNS-543 is 160 burden hours and 655 total annual responses. FNS is requesting 50 burden hours and 600 total annual responses for this revision. FNS plans to remove the burden for FNS-543 A, which reflects a decrease of -60 burden hours and a decrease of -55 total annual responses. This program change is due to the removal of FNS-543 A which reflects a decreased number of expected respondents, total annual responses and burden estimates. There is also a -50 burden hours adjustment which reflects a decrease due to erroneous burden estimates calculated in ROCIS.

---

Annual Cost to Federal Government: $293,551

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

---

Common Form ICR:  No

---

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: 10/09/2018

---