View Information Collection Request (ICR) Package
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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:
1084-0010
ICR Reference No:
202111-1084-001
Status:
Active
Previous ICR Reference No:
202007-1084-001
Agency/Subagency:
DOI/OAPM
Agency Tracking No:
Title:
Claim for Relocation Payments - Residential, DI-381; Claim for Relocation Payments - Nonresidential, DI-382
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/23/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/29/2021
Terms of Clearance:
OMB has reviewed and approved the ICR in accordance with 5 CFR 1320, for three years. Please remember to include all required information in supporting statements in preparation for future renewals.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2026
36 Months From Approved
01/31/2023
Responses
24
0
24
Time Burden (Hours)
20
0
20
Cost Burden (Dollars)
0
0
0
Abstract:
The information on the application will be used to determine the amount of money, if any, owed to persons or businesses displaced by Federal acquisition of their real property.
Authorizing Statute(s):
US Code:
42 USC 4601
Name of Law: Uniform Relocation Assistance and Real Propperty Acquisition Policies
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 31523
06/14/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 67720
11/29/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Claim for Relocation Payments - Nonresidential
DI-382, DI-382, DI-382, DI-382, DI-382
Claim for Relocation Payments - Nonresidential - Main
,
Claim for Relocation Payments - Nonresidential - Schedule A
,
Claim for Relocation Payments - Nonresidential - Schedule B
,
Claim for Relocation Payments - Nonresidential - Schedule C
,
Claim for Relocation Payments - Nonresidential - Schedule D
Claim for Relocation Payments - Residential
DI-381, DI-381, DI-381, DI-381, DI-381
Claim for Relocation Payments - Residential - Main
,
Claim for Relocation Payments - Residential - Schedule A
,
Claim for Relocation Payments - Residential - Schedule B
,
Claim for Relocation Payments - Residential - Schedule C
,
Claim for Relocation Payments - Residential - Schedule D
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
24
24
0
0
0
0
Annual Time Burden (Hours)
20
20
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
Annual Cost to Federal Government:
$3,183
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:
Jeffrey Parrillo 202 208-7072 jeffrey_parrillo@ios.doi.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
11/29/2021
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