Information Collection Request

Food Programs Reporting System (FPRS)

ICR 201904-0584-002 · OMB 0584-0594 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form FNS 366 B Worksheet 366B OMB# 0083 Form and Instruction New Available
Form FNS-834 FNS-834 Form and Instruction Modified Available
Form FNS 640 (A/B) (scr FNS 640 Form and Instruction Modified Available
Form FNS-874 (screensho FNS-874 Form and Instruction Modified Repair queued
Form FNS-742 FNS-742 Form Modified Available
Form FNS-828 (screensho FNS-828 Form and Instruction Modified Repair queued
Form FNS 759 EARS (scre Worksheet FNS 759 Revised Instructions for Clarity OMB# 0594 formerly 0542 March 2017 Form and Instruction Modified Repair queued
Form FNS 292B (screensh Worksheet FNS 292A and 292B OMB# 0037 Form and Instruction Modified Available
Form FNS 209 Screenshot Worksheet FNS 209 OMB# 0069 Form and Instruction Modified Available
Form FNS777 (screenshot Worksheet FNS 777 OMB# 0067 Form and Instruction Modified Repair queued
Form FNS 152 (screensho Worksheet FNS 152, 153 & 667 OMB# 0293 Form and Instruction Modified Available
Form FNS 683 B Worksheet FNS 683 B OMB# 0594 Form and Instruction Modified Repair queued
Form SF 425 (screenshot OMB# 4040-0014 SF 425 Form and Instruction Modified Available
Form FNS 46 Worksheet FNS 46 OMB# 0080 Form and Instruction Modified Repair queued
Form FNS 418 Worksheet Worksheet FNS 418 OMB# 0280 Form and Instruction Modified Repair queued
Form FNS 13 Worksheet FNS 13 OMB#0075 Form and Instruction Modified Repair queued
Form FNS-10 - PART B Worksheet FNS 10 OMB# 0002 Form Modified Repair queued
Working with Cells.png Supplementary Document Uploaded 2019-09-24 Repair queued
User Access Request Form.png Supplementary Document Uploaded 2019-09-24 Repair queued
Unlock.png Supplementary Document Uploaded 2019-09-24 Repair queued
Submit Revise.png Supplementary Document Uploaded 2019-09-24 Available
Submission Studio.png Supplementary Document Uploaded 2019-09-24 Repair queued
Simplified Studio.png Supplementary Document Uploaded 2019-09-24 Repair queued
Search.png Supplementary Document Uploaded 2019-09-24 Available
Rejected Before Posting.png Supplementary Document Uploaded 2019-09-24 Repair queued
Rejected Before Certification.png Supplementary Document Uploaded 2019-09-24 Repair queued
Rejected After Posting.png Supplementary Document Uploaded 2019-09-24 Repair queued
Program Management.png Supplementary Document Uploaded 2019-09-24 Repair queued
Online Forms Navigation.png Supplementary Document Uploaded 2019-09-24 Repair queued
NSLP Sate Revenue Matching Requirement.png Supplementary Document Uploaded 2019-09-24 Repair queued
Navigation Bar.png Supplementary Document Uploaded 2019-09-24 Available
Logging On to FPRS.png Supplementary Document Uploaded 2019-09-24 Repair queued
Logging off of FPRS.png Supplementary Document Uploaded 2019-09-24 Repair queued
Logging off Due to Session Timeout.png Supplementary Document Uploaded 2019-09-24 Repair queued
Introduction to FPRS.png Supplementary Document Uploaded 2019-09-24 Repair queued
Homepage_CBT.PNG Supplementary Document Uploaded 2019-09-24 Available
Home Page.png Supplementary Document Uploaded 2019-09-24 Repair queued
History and Audit.png Supplementary Document Uploaded 2019-09-24 Repair queued
Helpful Hints.png Supplementary Document Uploaded 2019-09-24 Repair queued
Hardware and Software Requirements.png Supplementary Document Uploaded 2019-09-24 Repair queued
FPRS Workflow.png Supplementary Document Uploaded 2019-09-24 Available
Form Management.png Supplementary Document Uploaded 2019-09-24 Repair queued
Food Group Management.png Supplementary Document Uploaded 2019-09-24 Repair queued
Excel Sheet.png Supplementary Document Uploaded 2019-09-24 Repair queued
Commodity Report.png Supplementary Document Uploaded 2019-09-24 Repair queued
Chnging Your Password.png Supplementary Document Uploaded 2019-09-24 Repair queued
Changing Your Email Address.png Supplementary Document Uploaded 2019-09-24 Repair queued
Analysis Sheet.png Supplementary Document Uploaded 2019-09-24 Repair queued
Action Buttons.png Supplementary Document Uploaded 2019-09-24 Available
Access Permissions.png Supplementary Document Uploaded 2019-09-24 Available
CN legislative authorities - all forms..docx Supplementary Document Uploaded 2019-09-13 Available
OMB Bulletin_19_01 Leg Auth for Fed Financial Reporting Form SF425.pdf Supplementary Document Uploaded 2019-09-12 Available
Leg Auth for SF 425.pdf Supplementary Document Uploaded 2019-09-12 Repair queued
FNS-798 & FNS-648 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-777(SAE) reg citation.doc Supplementary Document Uploaded 2019-09-13 Available
FNS-777 e-cfr reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-759 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Repair queued
FNS-683A reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-683 & FNS-203 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Repair queued
FNS-667 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-583 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-418 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Repair queued
FNS-366 A&B.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-292 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-209 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-191 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-152 & FNS-153 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Repair queued
FNS-101 reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-46 & FNS-388 e-cfr reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-44 e-cfr reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-13 e-cfr reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
FNS-10 e-cfr reg citation.pdf Supplementary Document Uploaded 2019-09-12 Available
Welcome Page.jpg Supplementary Document Uploaded 2019-09-12 Available
Submit_Revise.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Search.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Reject Posted Submission.jpg Supplementary Document Uploaded 2019-09-12 Available
QTR-SFA-CERT_Report.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
QTR-SFA-CERT_Remarks.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Post Submission.jpg Supplementary Document Uploaded 2019-09-12 Available
Landing Page.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Due Date.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Certify Submission.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
About FPRS.jpg Supplementary Document Uploaded 2019-09-12 Available
WIC Local Agency_Clinic Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Update Region Information.jpg Supplementary Document Uploaded 2019-09-12 Available
Update Headquarters Information.jpg Supplementary Document Uploaded 2019-09-12 Available
Session Time out.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Rate Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Program Management Page.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Overdue Submission.jpg Supplementary Document Uploaded 2019-09-12 Available
NSLP State Revenue Matching Requirement.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
LookUp Value Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Help.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Form Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Food Group Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
eAuth Sign In page 2.JPG Supplementary Document Uploaded 2019-09-12 Available
eAuth Sign In page 1.JPG Supplementary Document Uploaded 2019-09-12 Repair queued
Create Agency Profile.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Control Value Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Contact Us.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Commodity Report.jpg Supplementary Document Uploaded 2019-09-12 Available
Commodity Management.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
CBT.JPG Supplementary Document Uploaded 2019-09-12 Repair queued
Application Singed out.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Agency Search.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Add Commodity.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Active List.jpg Supplementary Document Uploaded 2019-09-12 Repair queued
Forms Purpose 9-24-19_.xls Supplementary Document Uploaded 2019-09-27 Repair queued
Supporting Statement part B 9-24-19.docx Supporting Statement B Uploaded 2019-09-24 Repair queued
Privacy Assessment form.pdf Supplementary Document Uploaded 2019-09-09 Repair queued
Burden chart 9-25-2019.xls Supplementary Document Uploaded 2019-09-30 Repair queued
Supporting Statement 9-30-2019 PRAO commentsfinal.doc Supporting Statement A Uploaded 2019-09-30 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
237913 Worksheet 366B OMB# 0083 Form and Instruction New
225044 FNS-834 Form and Instruction Modified
223716 FNS 640 Form and Instruction Modified
219419 FNS-874 Form and Instruction Modified
219418 FNS-742 Form Modified
219236 FNS-828 Form and Instruction Modified
204872 Worksheet FNS 683A OMB# 0541 Instruction Modified
204774 Worksheet FNS 778 AND 778A OMB# 0584-0594 Instruction Modified
204753 Worksheet FNS 648 OMB# 0431 Instruction Modified
204751 Worksheet FNS 798 and 798A OMB# 0045 Instruction Modified
204673 Worksheet FNS 759 Revised Instructions for Clarity OMB# 0594 formerly 0542 March 2017 Form and Instruction Modified
204669 Worksheet FNS 583 OMB# 0339 Instruction Modified
204666 Worksheet FNS 292A and 292B OMB# 0037 Form and Instruction Modified
204662 Worksheet FNS 366A OMB# 0083 Instruction Modified
204659 Worksheet FNS 209 OMB# 0069 Form and Instruction Modified
204658 Worksheet FNS 777 OMB# 0067 Form and Instruction Modified
204625 Worksheet FNS 152, 153 & 667 OMB# 0293 Form and Instruction Modified
204622 Worksheet FNS 44 OMB# 0055 Instruction Modified
204621 Worksheet FNS 101 (3 respondents from CMNI and 2853 SLT & 191 (252 Respondents) OMB# 0025 Instruction Modified
204620 Worksheet FNS 388 and 388A OMB# 0081 Instruction Modified
204618 Worksheet FNS 683 B OMB# 0594 Form and Instruction Modified
204616 OMB# 4040-0014 SF 425 Form and Instruction Modified
203841 Worksheet FNS 46 OMB# 0080 Form and Instruction Modified
203832 Worksheet FNS 418 OMB# 0280 Form and Instruction Modified
203831 Worksheet FNS 13 OMB#0075 Form and Instruction Modified
203829 Worksheet FNS 10 OMB# 0002 Form Modified
ICR Details
0584-0594 201904-0584-002
Active 201703-0584-001
USDA/FNS Renewal 2019
Food Programs Reporting System (FPRS)
Revision of a currently approved collection   No
Regular
Approved with change 07/14/2020
Retrieve Notice of Action (NOA) 09/30/2019
FNS may make changes to its address as a de minimis change.
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved 07/31/2020
47,157 0 46,378
102,044 0 104,749
0 0 0

FPRS facilitates data gathering for the reporting of data for the Special Supplemental Nutrition Program (SNAP) and the Special Nutrition Programs. FPRS is the primary collection point for program performance statistics and financial data from State agencies (SA), Indian Tribal Organizations (ITO), and U.S. Territories participating in the nutrition assistance programs. This information collection pertains to 20 FNS collections currently approved by OMB The reporting burdens for these collections will merge with FPRS once approved by OMB.

None
None

Not associated with rulemaking

  84 FR 36884 07/30/2019
84 FR 51509 09/30/2019
Yes

26
IC Title Form No. Form Name
FNS 640 FNS 640 (A/B) (screenshot1), FNS-640 (A/B) (screenshot3), FNS 640 (A/B) (screenshot2) Administrative Review Report ,   Administrative Review Report ,   Administrative Review Report
Worksheet FNS 46 OMB# 0080 FNS 46, FNS 46 Issuance Reconciliation Report (remarks section) ,   Issuance Reconciliation Report
Worksheet FNS 759 Revised Instructions for Clarity OMB# 0594 formerly 0542 March 2017 FNS 759 EARS (screenshot 1), FNS 759 EARS (screenshot 2), FNS 759 EARS (screenshot 3) SNAP Education & Admin Reporting System (EARS) ,   SNAP Education & Admin Reporting System (EARS) ,   SNAP Education & Admin Reporting System (EARS)
Worksheet FNS 13 OMB#0075 FNS 13 Annual Report of State Revenue Matching
Worksheet FNS 10 OMB# 0002 FNS-10 - PART A.jpg, FNS-10 - PART B Report of School Program Operations ,   Report of School Program Operations
Worksheet FNS 777 OMB# 0067 FNS777 (screenshot 2), FNS 777 (screenshot 1), FNS777 (screenshot 7), FNS777 (screenshot 8), FNS777 (screenshot 12), FNS777 (screenshot 3), FNS777 (screenshot 5), FNS777 (screenshot 11), FNS777 (screenshot 14), FNS777 (screenshot 13), FNS777 (screenshot 6), FNS777 (screenshot 4), FNS777 (screenshot 9), FNS777 (screenshot 10) Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report ,   Financial Status Report
Worksheet FNS 209 OMB# 0069 FNS 209 Screenshot, FNS 209 Screenshot Status of Claims Against Households ,   Status of Claims Against Households
Worksheet FNS 366A OMB# 0083 FNS 366 A (Screenshot), FNS 366A (page 1), FNS 366 A, FNS 366 A Program and Budget Summary Statement: Budget Projection ,   Program and Budget Summary Statement Budget Projection ,   Program and Budget Summary Statement Budget Projection ,   Program and Budget Summary Statement Budget Projection
Worksheet FNS 418 OMB# 0280 FNS 418 Worksheet, FNS 418 Worksheet Part (remarks section), FNS 418 Worksheet Part B-D REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN ,   REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN ,   REPORT OF THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
Worksheet FNS 152, 153 & 667 OMB# 0293 FNS 153 (screenshot 1), FNS 667 (screenshot), FNS 152 (screenshot 1), FNS 152 (screenshot 2), FNS 153 (screenshot 2), FNS 667 (remarks section) Monthly Distribution of Donated Food to Family Units ,   Monthly Report of the CSFP and Quarterly Administrative Financial Status Report ,   Report of The Emergency Food Assistance Program (TEFAP) Administrative Costs ,   Monthly Distribution of Donated Food to Family Units ,   Monthly Report of the CSFP and Quarterly Administrative Financial Status Report ,   Report of The Emergency Food Assistance Programs (TEFAP) Administrative Costs
FNS-828 FNS-828 (screenshot 1), FNS-828 (screenshot 2) School Food Authority Paid Lunch Price Report ,   School Food Authority Paid Lunch Price Report
FNS-742 FNS-742, FNS-742 (screenshot 1), FNS-742 (screenshot2), FNS-742 (screenshot3), FNS-742 (screenshot4) FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template ,   School Food Authority (SFA) Verification Collection Report ,   School Food Authority (SFA) Verification Collection Report ,   School Food Authority (SFA) Verification Collection Report ,   School Food Authority (SFA) Verification Collection Report
FNS-874 FNS-874 (screenshot1), FNS-874 (screenshot5), FNS-874 (screenshot10), FNS-874 (screenshot2), FNS-874 (screenshot7), FNS-874 (screenshot9), FNS-874 (screenshot3), FNS-874 (screenshot4), FNS-874 (screenshot 6), FNS-874 (screenshot8) Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report ,   Local Educational Agency Second Review of Applications Report
FNS-834 FNS-834, FNS-834 (screenshot1), FNS-834 (screenshot2) State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report (FNS-834) ,   State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report ,   State Agency (NSLP/SNAP) Direct Certification Rate Data Element Report
Worksheet FNS 292A and 292B OMB# 0037 FNS 292A (screenshot), FNS 292B (screenshot) Disaster Relief SNAP Benefit Issuance ,   Disaster Relief (Commodities Distrubution) Report of Commodity Distrubution for DR
Worksheet FNS 778 AND 778A OMB# 0584-0594 FNS 778 & 778a (screenshot1), FNS 778 & 778a (screenshot4), FNS 778 & 778a (screenshot5), FNS 778 & 778a (screenshot2), FNS 778 & 778A (screenshot3), FNS 778 & 778a (screenshot6) Federal Financial Report (SNAP OPERATIONS) ,   Federal Financial Report (SNAP OPERATIONS) ,   Federal Financial Report (SNAP OPERATIONS) ,   Federal Financial Report (SNAP OPERATIONS) ,   Federal Financial Report (SNAP OPERATIONS) ,   Federal Financial Report (SNAP OPERATIONS)
OMB# 4040-0014 SF 425 SF 425 (screenshot page 1), SF 425 (screenshot page 2), SF 425 Screenshots (remarks section) Federal Financial Report ,   Federal Financial Report ,   Federal Financial Report
Worksheet FNS 683 B OMB# 0594 FNS 683 B, FNS 683B (remarks section) WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT ,   WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT
Worksheet FNS 388 and 388A OMB# 0081 FNS 388 (SNAP-TERR FNS 388(CNMI-NAP) Remarks.jpg), FNS 388, FNS 388a, FNS 388 (SNAP-TERR - FNS-388 AS.jpg), FNS 388 (SNAP-TERR FNS 388 (PR).jpg) State Issuance and Participation Estimates ,   State Issuance and Participation Estimates ,   State Issuance and Participation Estimates ,   SNAP Project Area Data Format ,   State Issuance and Participation Estimates
Worksheet FNS 101 (3 respondents from CMNI and 2853 SLT & 191 (252 Respondents) OMB# 0025 FNS 101, FNS 191 CSFP Racial/Ethnic Group Participation ,   Participation in Food Programs-By Race
Worksheet FNS 44 OMB# 0055 FNS 44, FNS 44 , FNS 44 Report of Child and Adult Care Food Program ,   Report of Child and Adult Care Food Program ,   Report of Child and Adult Care Food Program
Worksheet FNS 583 OMB# 0339 FNS 583 (screenshot) SNAP Employment and Training Program Activity Report
Worksheet FNS 683A OMB# 0541 FNS 683a (screenshot 1), FNS-683A (screenshot 2), FNS-683A (screenshot 3) Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report ,   Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report ,   Senior Farmers' Market Nutrition Program (SFMNP) Annual Financial and Program Data Report
Worksheet FNS 798 and 798A OMB# 0045 FNS 798/798A (screenshot 1), FNS798/798A (screenshot 2), FNS 798/798A (screenshot 7), FNS 798/798A (screenshot 8), FNS 798/798A (screenshot 6), FNS 789/798A (screenshot 2), FNS 798-798A (screenshot 4), FNS 798/798A (screenshot 5) WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report ,   WIC Financial Management and Participation Report
Worksheet FNS 648 OMB# 0431 FNS 648 (screenshot 1), FNS 648 (screenshot 2) WIC Local Agency Directory ,   WIC Local Agency Directory
Worksheet 366B OMB# 0083 FNS 366 B Program and Budget Summary Statement

  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 47,157 46,378 0 832 -53 0
Annual Time Burden (Hours) 102,044 104,749 0 2,092 -4,797 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
The requested burden hours (104,610.50 total annual burden hours and 36,868.00 total annual responses) associated with this collection and the cost to respondents are shown in the attached chart. In addition, there are an estimated 12,708 respondents for this collection. Time estimates include the time needed to gather, compile and record data and submit it to FNS using FPRS. There is no recordkeeping burden associated with this data collection. All other reporting burden hours associated with these worksheets/data elements on the parallel worksheets has been discontinued and there is no duplicative burden associated with them. However, there is duplicative burden contained in two information collections, OMB# 0584-0608 SNAP Requirement for National Directory of New Hires Employment Verification and Annual Program Activity and OMB# 0584-0293 Food Distribution Program that is associated with forms in this collection. FNS is working on removing this duplicate burden as from these collections. Nonetheless, there may still be other reporting activities not captured on these worksheets/forms. Therefore, there may be reporting burden remaining in those OMB control numbers and there is a high probability of recordkeeping burden involved with many of the existing FNS forms/worksheets identified in this request. Any other reporting burden activities (not reported on the FPRS worksheets) and recordkeeping burden hours will remain with those existing collections. Lastly, recordkeeping for the SF 425 will be contained in OMB Control # 0584-0512, expiration date: 7/31/2022 the FNS Discretionary Grant generic request.

$12,265,428
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Rachelle Ragland-Greene 703 605-0038 [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.
09/30/2019