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:
0917-0028
ICR Reference No:
201209-0917-001
Status:
Historical Active
Previous ICR Reference No:
200902-0917-001
Agency/Subagency:
HHS/IHS
Agency Tracking No:
Title:
IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children
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:
11/07/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/05/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2015
36 Months From Approved
11/30/2012
Responses
3,000
0
3,000
Time Burden (Hours)
600
0
750
Cost Burden (Dollars)
0
0
0
Abstract:
To collect information needed to determine whether a prospective or current employee that has regular contact with or control over Indian children meets the minimum standards or character and to conduct background investigation.
Authorizing Statute(s):
US Code:
42 USC 13041
PL:
Pub.L. 101 - 630 408
Name of Law: Indian Child Protection and Family Violence Prevention Act
PL:
Pub.L. 106 - 568 814
Name of Law: Technical Amendment to the Indian Child Protection and Family Violence Protection Act
US Code:
25 USC 3201-3211
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0917-AA02
Final or interim final rulemaking
64 FR 14559
11/01/2002
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 35699
06/14/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 52749
08/30/2012
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
IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children
0917-0028
Addendum to Declaration for Federal Employment (OF 306) ; IHS Child Care and Indian Child Care Worker Positions"
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
3,000
3,000
0
0
0
0
Annual Time Burden (Hours)
600
750
0
0
-150
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:
$600
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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]?
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:
Tamara Clay 301 443-4750 Tamara.Clay@ihs.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:
09/05/2012
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