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View ICR - OIRA Conclusion

OMB Control No: 2900-0662	ICR Reference No: 202209-2900-012
Status: Active	Previous ICR Reference No: 201401-2900-009
Agency/Subagency: VA	Agency Tracking No: 2900-0662
Title: Civil Rights Discrimination Complaint
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/09/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/29/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2026	36 Months From Approved
Responses	450	0	0
Time Burden (Hours)	113	0	0
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): US Code: 42 USC 2000d-2 Name of Law: Judicial review; administrative procedure provisions
   US Code: 42 USC 2000d-3 Name of Law: Construction of provisions not to authorize administrative action with respect to employment practic
   US Code: 42 USC 2000d-4 Name of Law: Federal authority and financial assistance to programs or activities by way of contract of insurance
   US Code: 42 USC 6101 Name of Law: Statement of purpose
   US Code: 42 USC 6102 Name of Law: Prohibition of discrimination
   US Code: 42 USC 6103 Name of Law: Regulations
   US Code: 42 USC 6104 Name of Law: Enforcement
   US Code: 42 USC 6105 Name of Law: Judicial review
   US Code: 42 USC 6106 Name of Law: Study of discrimination based on age
   US Code: 42 USC 6107 Name of Law: Definitions
   US Code: 29 USC 794 Name of Law: Nondiscrimination under Federal grants and programs
   US Code: 42 USC 2000d-1 Name of Law: Federal authority and financial assistance to programs or activities by way of grant, loan, or contr

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	450	267	183
Annual Time Burden (Hours)	113	67	46
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The reason for the changes is that VHA is no longer the responsible for this document.

Annual Cost to Federal Government: $0

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: Denise DeShields 202 461-7840 denise.deshields@va.gov