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: 3206-0252	ICR Reference No: 202105-3206-001
Status: Historical Active	Previous ICR Reference No: 201712-3206-005
Agency/Subagency: OPM	Agency Tracking No:
Title: Program Services Evaluation Surveys
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: 11/03/2021
	Date Received in OIRA: 06/30/2021
Terms of Clearance: This collection is cleared for 6 months only. OPM needs to publish a 60 day notice to change this collection to a generic clearance for qualitative feedback.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	36 Months From Approved	11/30/2021
Responses	26,260	0	23,010
Time Burden (Hours)	5,345	0	4,073
Cost Burden (Dollars)	159,109	0	106,781

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Organizational Assessment Surveys	OA6, OA1, OA4, OA5, OA7, OA3, OA2	, , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	26,260	23,010	32,500	-32,500	3,250
Annual Time Burden (Hours)	5,345	4,073	12,720	-12,720	1,272
Annual Cost Burden (Dollars)	159,109	106,781	52,140	-51,952	52,140

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: Miscellaneous Actions

Short Statement: Additional ICR added to collection

Annual Cost to Federal Government: $30,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? Yes

Agency Contact: Demetrius Jones 202 606-5203 demetrius.jones@opm.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.