View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1910-5203	ICR Reference No: 202301-1910-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Stephanie Noell
Title: Contractor Safety
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: 07/17/2024
	Date Received in OIRA: 01/10/2023
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved. As terms of clearance, the agency is reminded to address in the supporting statement for the next renewal any special circumstances under 5 CFR 1320.5 that apply to this collection, including the records retention requirements and requiring respondents to submit a written response in fewer than 30 days.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2027	36 Months From Approved
Responses	190	0	0
Time Burden (Hours)	50	0	0
Cost Burden (Dollars)	2,018	0	0

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

IC Title	Form No.	Form Name
Contractor Safety	BPA F 5480.28e, BPA F 6410.15e, BPA F 6410.42e, BPA F 6410.18e	, , ,

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	190	190
Annual Time Burden (Hours)	50	50
Annual Cost Burden (Dollars)	2,018	2,018

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: $7,881

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: Yohanna Freeman 301 903-1151 yohanna.freeman@hq.doe.gov

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