View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2133-0555	ICR Reference No: 202201-2133-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOT/MARAD	Agency Tracking No: 2133-New
Title: Mariner Survey Pre-Test
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: 08/07/2023
	Date Received in OIRA: 09/19/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	36 Months From Approved
Responses	690	0	0
Time Burden (Hours)	247	0	0
Cost Burden (Dollars)	0	0	0

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

IC Title	Form No.	Form Name
Mariner Survey Pre-Test	MA-1085, MA-1085, MA-2010	, ,

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	690	690
Annual Time Burden (Hours)	247	247
Annual Cost Burden (Dollars)	0	0

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 Collection.

Annual Cost to Federal Government: $37,508

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: Matthew Mueller 202 366-7173 matthew.mueller@dot.gov

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