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:
1405-0150
ICR Reference No:
201005-1405-005
Status:
Historical Active
Previous ICR Reference No:
200811-1405-002
Agency/Subagency:
STATE/AFA
Agency Tracking No:
Title:
Emergency Loan Application and Evacuation Documentation
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 without change
Conclusion Date:
05/17/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/13/2010
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2013
36 Months From Approved
05/31/2010
Responses
1,176
0
1,000
Time Burden (Hours)
196
0
166
Cost Burden (Dollars)
0
0
0
Abstract:
The DS 3072 is an application for an emergency loan for a destitute U.S. citizen and/or dependent to return to the United States, an application for a destitute U.S. citizen abroad to receive emergency medical and dietary assistance and an application for a U.S. citizen and/or dependent and a third country or host country national to receive a loan to assist in his or her evacuation from a foreign country during a time of crisis or unrest. The DS 3072 also serves as an evacuation documentation to facilitate processing of evacuees by consular officers and state, federal and local government officials receiving evacuees.
Authorizing Statute(s):
US Code:
22 USC 2715
Name of Law: Procedures regarding major disasters and incidents abroad affecting United States citizens
US Code:
42 USC 1313
Name of Law: THE PUBLIC HEALTH AND WELFARE
US Code:
22 USC 4802 (b)
Name of Law: Responsibility of Secretary of State
US Code:
22 USC 2671
Name of Law: Emergency expenditures
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
74 FR 168
09/01/2009
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 38
02/26/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Emergency Loan Application and Evacuation Documentation
DS-3072, DS-3072, DS-3072
Emergency Loan Application and Evacuation Documentation
,
Emergency Loan Application and Evacuation Documentation
,
Emergency Loan Application and Evacuation Documentation
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
1,176
1,000
0
0
176
0
Annual Time Burden (Hours)
196
166
0
0
30
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:
Changes in burden are due to increased respondent numbers due to changed estimates by program office.
Annual Cost to Federal Government:
$8,180,689
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:
Derek Rivers 202 736-9082 RiversDA@state.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:
05/13/2010
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