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: 3206-0276	ICR Reference No: 202011-3206-008
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: A 11 Section 280 CX/UX
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/30/2020
	Date Received in OIRA: 11/25/2020
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, OPM must do the following: 1) provide a generic clearance template for each instrument; 2) if the agency is using multiple modes of collection (e.g. paper forms and electronic submissions) the same generic clearance template can be used but screen shots of electronic submissions and the paper forms must be provided; 3) each generic clearance template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved
Responses	1,009,850	0	0
Time Burden (Hours)	252,975	0	0
Cost Burden (Dollars)	14,452,500	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,009,850	1,009,850
Annual Time Burden (Hours)	252,975	252,975
Annual Cost Burden (Dollars)	14,452,500	14,452,500

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Meeting CX and UX requirements for A11 Section 280 for Retirement and USAJOBS.

Annual Cost to Federal Government: $14,527,495

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: Charles Conyers 202 606-0125 charles.conyers@opm.gov

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