View Information Collection Request (ICR) Package

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: 1024-0286	ICR Reference No: 202303-1024-001
Status: Active	Previous ICR Reference No: 201907-1024-002
Agency/Subagency: DOI/NPS	Agency Tracking No: 1024-DRSS
Title: National Park Service (NPS) Office of Public Health (OPH) Disease Reporting and Surveillance Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/25/2023
	Date Received in OIRA: 05/17/2023
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved	10/31/2023
Responses	650	0	390
Time Burden (Hours)	121	0	73
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	650	390	60	200
Annual Time Burden (Hours)	121	73	15	33
Annual Cost Burden (Dollars)	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: With this renewal, we are reporting a net increase of 260 annual responses and an increase of 48 annual burden hours. The increase is due in part to the addition of two parks (YOSE and GRCA). We will continue to use the same sample of employee (n= 100/park) and visitors(n=30/park) from the existing collections . Previously, the forms were combined and collectively reported by activity versus the number of responses per form. This reporting more accurately accounts for the burden for each form versus the collective burden for the activity to complete the full application process.

Annual Cost to Federal Government: $27,607

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. 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: Phadrea Ponds 970 226-9445 pondsp@usgs.gov

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