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:
1076-0200
ICR Reference No:
202210-1076-002
Status:
Active
Previous ICR Reference No:
Agency/Subagency:
DOI/BIA
Agency Tracking No:
IAFR001153
Title:
Indian Affairs Public Health Needs Assessment
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 without change
Conclusion Date:
03/28/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/11/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2026
36 Months From Approved
Responses
1,000
0
0
Time Burden (Hours)
167
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Enhancing the public health and safety capacity throughout Indian Affairs is a force multiplier in achieving the goals of our agency and in meeting the Occupational Safety and Health Act of 1970, Section 5 directive to create a place of employment free from recognized hazards. The purpose of this survey is to identify and prioritize public health issues and needs and enhance the public health and safety capacity throughout Indian country. The Office of Facilities, Property and Safety Management (OFPSM) Public Health and Safety (PHS) Team will use survey results to develop and coordinate action plans.
Authorizing Statute(s):
US Code:
29 USC 654
Name of Law: Occupational Safety and Health Act of 1970
PL:
Pub.L. 91 - 596 5
Name of Law: Occupational Safety and Health Act of 1970
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 39546
07/01/2022
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 1607
01/11/2023
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
Survey (Individuals)
N/A
Indian Affairs Public Health Needs Assessment Survey
Survey (State, Local, Tribal Governments)
N/A
Indian Affairs Public Health Needs Assessment Survey
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
1,000
0
0
250
750
0
Annual Time Burden (Hours)
167
0
0
42
125
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:
This is a new Information Collection. The purpose of this survey is to identify and prioritize public health issues and needs, to and enhance public health and safety capacity throughout Indian country. The Indian Affairs (IA), Office of Facilities, Property and Safety Management (OFPSM), Public Health and Safety (PHS) Team will use survey results to develop and coordinate action plans for Bureau of Indian Affairs (BIA), Bureau of Indian Education (BIE), and the rest of IA. To understand the concerns and priorities of IA employees and stakeholders, OFPSM plans to administer a public health needs assessment every two years. This effort to gather input from tribal partners supports Executive Order 13175 and the Biden Administration’s corresponding Memorandum on Tribal Consultation and Strengthening Nation-to-Nation Relationships. Stakeholders include BIE-funded tribally-controlled schools and BIA-funded tribal justice programs, where non-federal employees work in federal owned and operated buildings.
Annual Cost to Federal Government:
$5,345
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.
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.
No
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:
Steven Mullen 202 924-2650 steven.mullen@bia.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:
01/11/2023
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