View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3090-0118	ICR Reference No: 202008-3090-002
Status: Historical Active	Previous ICR Reference No: 201707-3090-001
Agency/Subagency: GSA	Agency Tracking No:
Title: Statement of Witness, Standard Form (SF) 94
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/16/2020
	Date Received in OIRA: 08/20/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2023	36 Months From Approved	11/30/2020
Responses	290	0	874
Time Burden (Hours)	97	0	291
Cost Burden (Dollars)	53,058	0	159,907

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	290	874	-584
Annual Time Burden (Hours)	97	291	-194
Annual Cost Burden (Dollars)	53,058	159,907	-106,849

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: Cutting Redundancy

Short Statement: The burden associated with completion of the SF 94 has been updated based on the Bureau of Transportation Statistics report on motor vehicle crash rate for the year 2018. The total burden hours associated with completion of the SF 94 is not expected to vary because of differences in activity or size of complexity. The total number of respondents has decreased based on the conversion to a common form.

Annual Cost to Federal Government: $2,437

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. No

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? No

Agency Contact: Ray Wynter 202 501-3802

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