Farm and Food Workers Relief Grant Program

Forms and Documents

Document Name	Status
Farm and Food Workers and Relief Program Only Form and Instruction	New
Standard all Grant Programs Form and Instruction	New
Farmworkers Emergency Memo 10-29.pdf Supplementary Document	2021-11-01
AMS-71_Farmworker -10-29.xls Supplementary Document	2021-11-02
FFWR Supporting Statement -10-29.docx Supporting Statement A	2021-11-02

IC Document Collections

IC ID	Document Title	Status
249631	Farm and Food Workers and Relief Program Only Form and Instruction	New
249630	Standard all Grant Programs Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202110-0581-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: USDA/AMS	Agency Tracking No:
Title: Farm and Food Workers Relief Grant Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 11/12/2021
Date Submitted to OIRA: 11/02/2021

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	924	0
Time Burden (Hours)	1,726	0
Cost Burden (Dollars)	0	0

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Abstract: Supports eligible entities including State agencies, Tribal entities, and nonprofits with tax exempt status that have experience in providing support or relief services to farmworkers, meatpacking workers, or grocery store workers.

Emergency Justfication: A burden is being imposed on eligible State agencies, tribal entities and non-profit organizations provide grants to food and farm workers to respond to coronavirus, including for measures to protect workers against the Coronavirus Disease 2019 (COVID-19). This program is authorized and funded under subtitle B, Section 751 of the Consolidated Appropriations Act of 2021 (Pub. L. No. 116-260).

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Authorizing Statute(s): PL: Pub.L. 116 - 260 751 Name of Law: the Consolidated Appropriations Act of 2021
  

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

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
Farm and Food Workers and Relief Program Only	None, None, none, None, None, None	Peer Reviewer Application and Qualification Form ,   Peer Reviewer AMS Grant Program Score Sheet ,   FFWR narrative Submission ,   Negotiated Indirect Cost Agreement ,   Project Beneficiaries Questionnaire ,   Accounting System and Financial Capability Questionnaire
Standard all Grant Programs	None, None, AMS-33, None, None, None	Request For Application ,   Notice of Award and Grant Agreement ,   AMS Grants Terms and Conditions ,   Amendment Request ,   Interim Performance Report ,   Final Performance Report

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ICR Summary of Burden

	Total Request	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	924	0	0	924	0	0
Annual Time Burden (Hours)	1,726	0	0	1,726	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 is a new collection.

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Annual Cost to Federal Government:

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? Yes

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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: 11/02/2021

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