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View Information Collection (IC) List
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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:
0607-1018
ICR Reference No:
202202-0607-009
Status:
Active
Previous ICR Reference No:
202112-0607-002
Agency/Subagency:
DOC/CENSUS
Agency Tracking No:
Title:
Certification of Identity (Form BC-300)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/28/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/25/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2025
36 Months From Approved
09/30/2022
Responses
400
0
250
Time Burden (Hours)
40
0
25
Cost Burden (Dollars)
0
0
0
Abstract:
The information requested on the Certification of Identity (Form BC-300), and the associated evidence, is collected under the Freedom of Information Act (FOIA), 5 U.S.C. § 552, and the Privacy Act of 1974, 5 U.S.C. § 552a. Per 28 C.F.R. §16.41(d), the request for access to records must contain a verification of identity, including the requestor’s full name, current address, and date and place of birth, and be signed under penalty of perjury or notarized. Requests for the release of records will not be processed if the Census Bureau cannot confirm identity based on the information provided. Therefore, this information collection is necessary to prevent unauthorized disclosure of records of individuals maintained by the Census Bureau and allows parties to disclose or release their records to an attorney, accredited representative, qualified organization, or other third party.
Authorizing Statute(s):
US Code:
5 USC Section 552
Name of Law: Freedom of Information Act (FOIA)
US Code:
5 USC Section 552a
Name of Law: Privacy Act of 1974
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:
87 FR 15363
03/18/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 31519
05/24/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Certification of Identity (Form BC-300)
BC-300
Certification of Identity
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
400
250
0
150
0
0
Annual Time Burden (Hours)
40
25
0
15
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
The estimated number of annual respondents increased from 250 to 400, resulting in an increase of estimated annual burden from 25 hours to 40 hours.
Annual Cost to Federal Government:
$98,652
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:
Mary Lenaiyasa 301 763-1015 mary.reuling.lenaiyasa@census.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
Submitting this request as a Common Form allows other federal agencies to request permission to utilize the Certification of Identity (Form BC-300) to verify the identity of requestors, which will help prevent the unauthorized disclosure of records of individuals and allows parties to disclose or release their records to an attorney, accredited representative, qualified organization, or other third party.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOC/NOAA
202209-0648-001CF
Certification of Identity (Form BC-300)
Active
Certification of Identity (Form BC-300)
DOL/DM
202308-1225-002CF
Certification of Identity (Form BC-300)
Historical Active
Certification of Identity (Form BC-300)
DOL/DM
202308-1225-004CF
Certification of Identity (Form BC-300)
Active
Certification of Identity (Form BC-300)
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:
05/25/2022
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