View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0524-0050
ICR Reference No:
201606-0524-002
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
USDA/NIFA
Agency Tracking No:
Title:
Veterinary Medicine Loan Repayment Program (VMLRP)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
09/06/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/01/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2019
36 Months From Approved
Responses
42,250
0
0
Time Burden (Hours)
12,538
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This information collection merges two previously approved information collections. OMB control number 0524-0046 and OMB control number 0524-0047, and adds new reporting and record keeping requirements, feedback, surveys and a post-contract survey. Upon approval of this collection 0524-0046 and 0524-0047 will be cancelled.
Authorizing Statute(s):
US Code:
7 USC 3151A
Name of Law: National Agricultural Research Extension and Teaching Policy Act of 1997
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:
80 FR 249
12/29/2015
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 39888
06/20/2016
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Participant and Employer Feedback Surveys
NIFA -04-10, NIFA -03-10, NIFA -01-10, NIFA -09-10, NIFA -02-10, NIFA -08-10, NIFA -06-10, NIFA-07-10, NIFA -05-10
Service Verification
,
Recommendation Form
,
Intent of Employment
,
Certification for Application
,
Contract
,
Loan Information
,
List of Recommenders
,
Personal Statement
,
Applicant Information
Participants and Employer Feedback Nonrespondents
Veterinary Medicine Loan Repayment Employer Survey
0524-New
VMLRP Employer Survery
Veterinary Medicine Loan Repayment Post Award Survey
0524-New
VMLRP Post Award Survey
Veterinary Medicine Loan Repayment Program Close-Out Reports
0524-New
VMLRP Close-out Report Survey
Veterinary Medicine Loan Repayment Program Feedback Survey
0524-New
VMLRP Feedback Survey
Veterinary Medicine Loan Repayment Shortage Nomination Form
NIFA 2009-0001
VMLRP Shortage Nomination Form
Veterinary Medicine Loan Repayment Shortage Nomination Form Nonrespondents
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
42,250
0
0
42,250
0
0
Annual Time Burden (Hours)
12,538
0
0
12,538
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
No
Burden Reduction Due to:
Short Statement:
This is a new submission merging two previously approved information collections (IC 0524-0046 and IC 0524-0047). As a result of merging the two collections and the additional information (Records and Reports, and Surveys) this resulted in a program change of 1,190 respondents, 41,280 responses, and 11,979 burden hours.
Annual Cost to Federal Government:
$154,514
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]?
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:
Robert Martin 202 401-5924 rmartin@nifa.usda.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:
07/01/2016
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