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 Generic ICR - OIRA Conclusion

OMB Control No: 3206-0252	ICR Reference No: 201712-3206-005
Status: Historical Active	Previous ICR Reference No: 201402-3206-004
Agency/Subagency: OPM	Agency Tracking No:
Title: Program Services Evaluation Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/12/2018
	Date Received in OIRA: 01/31/2018
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	23,010	0	657,810
Time Burden (Hours)	4,073	0	327,459
Cost Burden (Dollars)	106,781	0	200,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	23,010	657,810	-634,800
Annual Time Burden (Hours)	4,073	327,459	-323,386
Annual Cost Burden (Dollars)	106,781	200,000	-93,219

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The calculation process of number of responses and burden time changed to reflect usage.

Annual Cost to Federal Government: $30,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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. Yes

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: Demetrius Jones 202 606-5203 demetrius.jones@opm.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.