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: 0563-0069	ICR Reference No: 202402-0563-002
Status: Active	Previous ICR Reference No: 202009-0563-002
Agency/Subagency: USDA/FCIC	Agency Tracking No:
Title: Standard Reinsurance Agreement Plan of Operations
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: 09/03/2024
	Date Received in OIRA: 07/30/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved	08/31/2024
Responses	56,598	0	56,144
Time Burden (Hours)	197,458	0	189,000
Cost Burden (Dollars)	0	0	0

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

IC Title	Form No.	Form Name
Standard Reinsurance Agreement	Business Pandemic Influenza Planning Checklist, Exhibit IIIG1-3, Exhibit IVh2B, Exhibit 1A-C and VA-C, Exhibit IVh1B, Exhibit IIIF1-3, Exhibit IIIH1-3, Exhibit IVh1A	, , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	56,598	56,144	454
Annual Time Burden (Hours)	197,458	189,000	8,458
Annual Cost Burden (Dollars)	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: The difference is an increase of 8,458 annual burden hours and 454 annual responses. The reasons for these increases are: (a) the number of loss adjusters increased from 5,500 to 6,000 while the number of companies decreased from 14 to 13.

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. 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: Shannon Persetic 202 720-2516 shannon_persetic@wdc.usda.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.