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:
200909-1910-002
Status:
Historical Active
Previous ICR Reference No:
200611-1910-003
Agency/Subagency:
DOE/DOEOA
Agency Tracking No:
Felecia Briggs
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:
03/18/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/26/2010
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is approved for 3 years. Upon resubmission, it is suggested the agency continue to reassess burden estimates and review prior estimates for errors in calculation.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2013
36 Months From Approved
03/31/2010
Responses
51,700
0
57,500
Time Burden (Hours)
31,020
0
5,750
Cost Burden (Dollars)
0
0
0
Abstract:
These Collections are used by DOE management to certify 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
Name of Law: The Public Health and Welfare
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:
74 FR 200
10/19/2009
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 16
01/26/2010
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
51,700
57,500
0
0
-5,800
0
Annual Time Burden (Hours)
31,020
5,750
0
0
25,270
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:
Annual Cost to Federal Government:
$0
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)?
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:
01/26/2010
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