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: 1076-0141	ICR Reference No: 201906-1076-003
Status: Historical Active	Previous ICR Reference No: 201603-1076-002
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Water Request
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/26/2019
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved	01/31/2020
Responses	35,941	0	34,906
Time Burden (Hours)	17,981	0	17,943
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	35,941	34,906	1,092	-57
Annual Time Burden (Hours)	17,981	17,943	292	-254
Annual Cost Burden (Dollars)	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: Segregation of sensitive PII is now confined to a single information collection with an appropriate Privacy Act Statement and other required language. The new Request for Customer Information form is anticipated to increase the hour and cost burden, however it is being utilized to bring the program into compliance and improve data quality. The Land Classification/Designation Application form increased the hour and cost burden because this information was previously collected without OMB approval and was not accounted for in the last renewal. We are accounting for it in the burden estimates in this renewal.

Annual Cost to Federal Government: $236,962

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. Yes

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. Yes

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: Ashley Fry 202 208-5808 ashley.fry@bia.gov