View Information Collection Request (ICR) Package
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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:
1910-5122
ICR Reference No:
200611-1910-003
Status:
Historical Active
Previous ICR Reference No:
200608-1910-013
Agency/Subagency:
DOE/DOEOA
Agency Tracking No:
Title:
Human Reliability Program
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:
02/23/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/28/2006
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2010
36 Months From Approved
02/28/2007
Responses
57,500
0
12,500
Time Burden (Hours)
5,750
0
54,000
Cost Burden (Dollars)
0
0
0
Abstract:
Forms will certify to DOE that respondents were advised of the requirements for occupying or continuing to occupy a Human Reliability Program position.
Authorizing Statute(s):
US Code:
42 USC 7254
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1992-AA29
Final or interim final rulemaking
69 FR 15
01/23/2006
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
71 FR 59
04/28/2006
30-day Notice:
Federal Register Citation:
Citation Date:
71 FR 141
07/24/2006
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Acknowledgement and Agreement to Participate in the Human Reliability Program (HRP)
DOE F 470.4
Acknowledgment and Agreement to Participate in the Human Reliability Program (HRP)
Authorization and Consent to Release Human Reliability (HRP) Records in Connection with HRP
DOE F 470.5
Authorization and Consent to Release Human Reliability Program (HRP) Records in Connection with HRP
Human Reliability Program
DOE F 470.3
Human Reliability Program (HRP) Certification
Human Reliability Program (HRP) Alcohol Testing Form
DOE F 470.7
Human Reliability Program (HRP) Alcohol Testing Form
Refusal to Consent
DOE F 470.6
Refusal of Consent
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
57,500
12,500
0
0
45,000
0
Annual Time Burden (Hours)
5,750
54,000
0
0
-48,250
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:
The total number of respondents reported in the previous submission was an estimate, since the program has now been in existence for three years and a more precise determination as to the number of respondents can be made. The total number of respondents is 11,500 (Human Reliability Program positions). Each respondent must complete each of the 5 forms so the total number of responses equals 11,500 respondents times 5 responses which equals 57,500 annual responses. The total number of annual hours required for the collection has been significantly reduced based upon actual experience in the administration of the program over the previous three years (previously 54,000—currently 5,750).
Annual Cost to Federal Government:
$385,250
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]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Jeffrey Martus
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:
11/28/2006
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