View Information Collection Request (ICR) Package

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: 1505-0010	ICR Reference No: 201711-1505-003
Status: Historical Active	Previous ICR Reference No: 201405-1505-001
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: Treasury Foreign Currency (TFC) Forms FC-1, FC-2 & FC-3
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: 02/21/2018
	Date Received in OIRA: 11/30/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved	02/28/2018
Responses	2,128	0	300
Time Burden (Hours)	4,208	0	1,080
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	2,128	300	1,516	312
Annual Time Burden (Hours)	4,208	1,080	2,768	360
Annual Cost Burden (Dollars)	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: The increases in total burden hours of 208 hours for Form FC-1 and 216 hours for Form FC-2 are entirely the result of increases in the number of respondents. The decrease of 64 hours for Form FC-3 is entirely the result of a decrease in the number of respondents. The estimates of total burden hours currently carried in OMB's Information Collection Inventory are 1,040 for Form FC-1, 1,080 for FC-2, and 1,728 for FC-3. This ICR also shows an increase due to the consolidation of all three TFC forms into a single ICR. Currently, FC-1 and FC-3 are covered by separate ICRs (1505-0012 & 1505-0014, respectively). Upon approval of this consolidated ICR, those two OMB control numbers will be discontinued.

Annual Cost to Federal Government: $80,675

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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: Dwight Wolkow 202-622-1276 wolkowd@do.treas.gov

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