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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1910-1800
ICR Reference No:
201203-1910-012
Status:
Historical Active
Previous ICR Reference No:
200809-1910-004
Agency/Subagency:
DOE/DOEOA
Agency Tracking No:
Felecia Briggs
Title:
Security
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:
11/06/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/10/2012
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is approved for three years. NMMSS information collections removed form this authorization must be separately authorized through another ICR if the information collection activities continue; otherwise any such collections will be in violation of the Paperwork Reduction Act.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2017
36 Months From Approved
11/30/2014
Responses
81,669
0
121,637
Time Burden (Hours)
71,206
0
264,023
Cost Burden (Dollars)
0
0
0
Abstract:
Collections are used by DOE management to exercise management oversight and control over management and operating (M&O) contractors of DOE's government-owned contractor-operated (GOCO) facilities and offsite contractors. The "oversight and control" function concerns ways in which DOE contractors provide goods and services to DOE organizations and activities in accordance with the therms of their contracts, government regulations, etc. Information is collected from DOE contractors and the public
Authorizing Statute(s):
PL:
Pub.L. 95 - 91 214, 644, 646(a)
Name of Law: Department of Energy Organization 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:
77 FR 28
02/10/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 76
04/19/2012
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Security
DOE-F-471.1, DOE-F-5639.3, DOE F 5631.20, DOE F 5631.29, DOE F 5631.18, DOE F 5631.5, DOE-F-5631.34, SF-328
US Department of Energy Report of Security Incident/Infraction
,
US Department of Energy Data Report on Spouse/Cohabitant
,
Certificate Pertaining to Foreign Interests
,
US Department of Energy Office of Safeguards and Security Security Incident Notification Report
,
US Department of Energy Request for Visit or Access Approval
,
The Conduct of Personnel Security Interviews Under DOE Security Regulations
,
Security Acknowledgement
,
Security Termination Statement
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
81,669
121,637
0
0
-39,968
0
Annual Time Burden (Hours)
71,206
264,023
0
0
-192,817
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:
Changes in the 1910-1800 Security package are listed below: Nuclear Materials Management and Safeguards System (NMMSS): The following forms have been removed from this collection package as the NMMSS management and operations of the program were transferred from the Office of Health, Safety and Security (HSS) to the National Nuclear Security Administration (NNSA) on October 1, 2011. NMMSS is sponsored by the NNSA Office of Nuclear Materials Integration (NA-73) and the U.S. Nuclear Regulatory Commission (NRC). DOE/NRC F 740M, Concise Note (Preprinted) DOE/NRC F 741, Nuclear Material Transaction Report DOE/NRC F 742, Material Balance Report DOE/NRC F 742C, Physical Inventory DOE F DP-749, ADP Transcription Sheet Internal Project Transfers
Annual Cost to Federal Government:
$1,280,232
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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
Agency Contact:
Christina Rouleau 301 903-6227 Christina.Rouleau@hq.doe.gov
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:
05/10/2012
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