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: 3220-0036	ICR Reference No: 202011-3220-001
Status: Active	Previous ICR Reference No: 201709-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Supplemental Information on Accident and Insurance
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: 07/14/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/24/2020
Terms of Clearance: The agency updated its supporting statement to clarify when the SI-1C is utilized.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved	07/31/2021
Responses	8,900	0	10,202
Time Burden (Hours)	508	0	531
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	8,900	10,202	-1,302
Annual Time Burden (Hours)	508	531	-23
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The overall burden estimated for the collection has decreased by 1,302 from 10,202 to 8,900 and the burden hours have decreased by 23 hours from 531 to 508 hours. The burden increased due to the following reasons: 1) a growing use of Form ID-30k, were the responses increased by 45 (from 55 to 100) and the burden hours increased by 3 (5 to 8). At the same time, the burden reduced due to a reduction in the use of Form ID-3u for job protection payments in the rail industry; the removal of Form ID-30k-1 due to less than 10 responses annually; and improved tracking capabilities that allow the RRB to more accurately determine the amount of annual responses.

Annual Cost to Federal Government: $0

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? No

Agency Contact: Brian Foster 312 751-4826 brian.foster@rrb.gov