OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the Direct Certification with Medicaid for Free and Reduced-Price (DCM-F/RP) Meals Demonstration

ICR 201706-0584-001 · OMB 0584-0630 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
50305 DCM FRP_OMB PART B Final.docx Supporting Statement B Uploaded 2017-06-20 Available
50305 DCM FRP_OMB PART A Final.docx Supporting Statement A Uploaded 2017-06-20 Available
H.2 Relevant Documents.docx Supplementary Document Uploaded 2017-06-16 Available
H.1 Relevant Documents.docx Supplementary Document Uploaded 2017-06-16 Available
G NASS Comments.docx Supplementary Document Uploaded 2017-06-16 Available
E DCM-FRP Burden Table.xlsx Supplementary Document Uploaded 2017-06-16 Available
D DCM-FRP Confidentiality Pledges_clean.docx Supplementary Document Uploaded 2017-06-16 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
227123 Businesses (Vendors) Other-Appendix A-3.a Detailed Site Visit Interview Protocol: Sta New
227122 State, Local and Tribabl Government (CN Agency Staff, State Medicaid Agency Staff, Other State Agency Staff, School District) - Non-Response Other-Non-Respondents Burden Instrument New
227121 State, Local, and Tribal Government (CN Agency Staff, State Medicaid Agency Staff, Other State Agency Staff, and School District Staff) Other-Appendix A-2 Site Visit Scheduling Call Protocol New
ICR Details
0584-0630 201706-0584-001
Historical Active
USDA/FNS
Evaluation of the Direct Certification with Medicaid for Free and Reduced-Price (DCM-F/RP) Meals Demonstration
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/21/2017
Retrieve Notice of Action (NOA) 07/24/2017
  Inventory as of this Action Requested Previously Approved
12/31/2020 36 Months From Approved
1,105 0 0
1,174 0 0
0 0 0
USDA FNS seeks approval to conduct data collection as part of the Evaluation of the Direct Certification with Medicaid for Free and Reduced-Price Meals Demonstration. The study will help FNS understand implementation and demonstration's effectiveness in improving certification and participation outcomes as well as savings and costs in administrative time and labor.
PL: Pub.L. 111 - 296 103 Name of Law: The Healthy, Hunger-Free Kids Act of 2010 (HHFKA)
   PL: Pub.L. 108 - 265 104 Name of Law: Child Nutrition and WIC Reauthorization Act of 2004
  
None
Not associated with rulemaking
  82 FR 11526 02/24/2017
82 FR 34275 07/24/2017
Yes
  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 1,105 0 0 1,105 0 0
Annual Time Burden (Hours) 1,174 0 0 1,174 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection of information and is estimated to add 1,174 burden hours and 1,105 responses to OMB's inventory as a program change.
$784,632
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Christina Sandberg 703 305-2337 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/24/2017