View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0508-0002	ICR Reference No: 202102-0508-001
Status: Historical Active	Previous ICR Reference No: 201712-0508-001
Agency/Subagency: USDA/AgOCR	Agency Tracking No:
Title: USDA Program Discrimination Complaint Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/25/2021
	Date Received in OIRA: 02/25/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	05/31/2021
Responses	278	0	141
Time Burden (Hours)	278	0	141
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	278	141	137
Annual Time Burden (Hours)	278	141	137
Annual Cost Burden (Dollars)	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 revision of a currently approved information collection. There is a change in the number of respondents estimated in 2017. The number cited in this supporting statement shows an increase from 141 respondents in 2017 to a projected 278 respondents. The methodology includes an average of program complaint participants over the five-year period from 2014, 2015, 2016, 2018 and 2019. The increase in the number participants is based on the use of actual data. The increase of costs is directly associated with the increase costs of the federal salary cost and the increase of program participation.

Annual Cost to Federal Government: $3,670

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? No

Agency Contact: Warren Brooks 202 260-3978

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