View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
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:
3060-1267
ICR Reference No:
202002-3060-026
Status:
Historical Active
Previous ICR Reference No:
201910-3060-011
Agency/Subagency:
FCC
Agency Tracking No:
OWD
Title:
FCC Anti-Harassment Intake Form
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/26/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/25/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2022
12/31/2022
12/31/2022
Responses
5
0
5
Time Burden (Hours)
18
0
18
Cost Burden (Dollars)
4,050
0
4,050
Abstract:
The Commission is submitting a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The only change in the supporting statement is the substitution of the appropriate SORN which was previously approved by the Office of Management and Budget (OMB) on December 20, 2019. The record retention and similar provisions under the government-wide SORN are not significantly different from those previously reviewed and approved. Therefore, the supporting statement has been corrected to support this non-substantive change request to OMB. Also, there are no changes in the burdens and the costs remain the same for this information collection. This information, completed on FCC Form 5632, will be used by OWD and HRM to process, track, and maintain the confidentiality of Anti-Harassment Intake Form requests.
Authorizing Statute(s):
US Code:
42 USC 2000e
Name of Law: Age Discrimination in Employment Act of 1967 (ADEA)
US Code:
29 USC 621-634
Name of Law: Americans with Disabilities Act of 1990 (ADA), as amended
US Code:
42 USC 12101-12213
Name of Law: Rehabilitation Act of 1973
US Code:
7 USC 7
Name of Law: Civil Rights Act of 1964, as amended
US Code:
29 USC 501
Name of Law: Americans with Disabilities Act of 1990 (ADA), as amended
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:
84 FR 37871
08/02/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 54144
10/09/2019
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
FCC Anti-Harassment Intake Form
FCC Form 5632
FCC Anti-Harassment Intake Form
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
5
5
0
0
0
0
Annual Time Burden (Hours)
18
18
0
0
0
0
Annual Cost Burden (Dollars)
4,050
4,050
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:
This is a new information collection request resulting in a program change/increase to the total claimants of 5, total annual responses of 5 and total annual burden hours of 18 hours. These estimates will be added to OMB’s Active Inventory.
Annual Cost to Federal Government:
$0
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.
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:
Cynthia Bryant 202 418-8165 cynthia.bryant@fcc.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:
02/25/2020
An official website of the United States government
The .gov means it's official.
The site is secure.
