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: 0694-0088	ICR Reference No: 201705-0694-003
Status: Historical Active	Previous ICR Reference No: 201604-0694-003
Agency/Subagency: DOC/BIS	Agency Tracking No: UVL Rule
Title: Simple Network Application Process and Multipurpose Application Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/27/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/05/2019
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved	08/31/2019
Responses	64,618	0	64,612
Time Burden (Hours)	31,835	0	31,833
Cost Burden (Dollars)	30,772	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	64,618	64,612	6
Annual Time Burden (Hours)	31,835	31,833	2
Annual Cost Burden (Dollars)	30,772	0	30,772

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: A slight annual burden increase is expected (+ 2 burden hours) due to an expected average increase (+6) in SNAP-R requests. Additionally, the cost of record keeping has not been included in previous versions of this collection.. Each IC was updated to show the record keeping cost showing a total increase of $30,772.

Annual Cost to Federal Government: $1,938,540

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

Agency Contact: Mark Crace 202 482-8093 mark.crace@bis.doc.gov