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: 3015-0014	ICR Reference No: 202009-3015-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DFC	Agency Tracking No: DFC-016
Title: DFC-016 Serbia-Kosovo Screening Tool
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 09/22/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/22/2020
	Date Received in OIRA: 09/22/2020
Terms of Clearance: Changes to information collection instrument made to better inform application process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	6 Months From Approved
Responses	100	0	0
Time Burden (Hours)	100	0	0
Cost Burden (Dollars)	5,813	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	100	100
Annual Time Burden (Hours)	100	100
Annual Cost Burden (Dollars)	5,813	5,813

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 form/tool, so the duty (and burden) of reviewing the answers given by its users has fallen on that of a GS-14 at $58.13/hr multiplies by an estimated 100 responses annually.

Annual Cost to Federal Government: $5,813

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. 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? No

Agency Contact: Joanna Reynolds 202 357-3979 joanna.reynolds@dfc.gov

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