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:
0712-0006
ICR Reference No:
202302-0712-006
Status:
Historical Active
Previous ICR Reference No:
202011-0703-001
Agency/Subagency:
DOD/USMC
Agency Tracking No:
Title:
USMC Child and Youth Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/08/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/08/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2025
36 Months From Approved
Responses
247,500
0
112,000
Time Burden (Hours)
115,917
0
131,040
Cost Burden (Dollars)
4,028,104
0
2,320,640
Abstract:
The information collection is necessary to manage the general health status of patrons participating in Child and Youth Programs (CYP) and to register patrons for CYP. The information collected in the Health Assessment is used by USMC CYP and Inclusion Action Team (IAT) personnel to determine the general health status of patrons participating in CYP activities and, as required, the appropriate accommodations for the patron to ensure full enjoyment of the CYP services. The information collection is also needed to obtain authorization for CYP personnel to administer non-medicated topical products, maintain the medication administration record, controlled medication administration record, and daily log for USMC CYP participants.
Authorizing Statute(s):
US Code:
10 USC 5041
Name of Law: Headquarters, Marine Corps
US Code:
10 USC 5013
Name of Law: Secretary of the Navy
US Code:
10 USC 88, Subch. II
Name of Law: Military Family Programs and Military Child Care: Military Child Care
EO: EO 9397 Name/Subject of EO: SSN
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 4006
01/26/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 51654
08/23/2022
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
USMC Child and Youth Programs Forms
NAVMC 1750/10, NAVMC 1750/11, NAVMC 1750/7, NAVMC 1750/4, NAVMC 11720, NAVMC 1750/5
USMC Child and Youth Programs Registration Form
,
USMC Family Care Programs Consent to Release Information
,
USMC Child and Youth Programs Health Assessment
,
USMC Child and Youth Programs Non-Medicated Topical Products Authorization
,
USMC Child and Youth Programs Medication Authorization and Administration Record
,
USMC Child and Youth Programs Controlled Medication Authorization, Administration Record and Daily Log
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
247,500
112,000
0
135,500
0
0
Annual Time Burden (Hours)
115,917
131,040
0
-15,123
0
0
Annual Cost Burden (Dollars)
4,028,104
2,320,640
0
1,707,464
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Respondent time burden has decreased since the last submission despite the addition of three forms. This is because NAVMC 11720 was incorrectly identified as having 112,000 respondents when, in practice, only a small percentage of parents/guardians complete the form. Despite the decrease in time burden, the Labor Cost of Respondent Burden has increased due to revised average hourly wage estimates which were previously too low.
Annual Cost to Federal Government:
$582,863
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:
Nicholas Schuff 757 817-7203 nicholas.a.schuff.ctr@mail.mil
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:
08/23/2022
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