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: 3320-0003	ICR Reference No: 202403-3320-002
Status: Active	Previous ICR Reference No: 201012-3320-004
Agency/Subagency: MKU-SLUF	Agency Tracking No: 0003
Title: Program Evaluation Instruments - Environmental Conflict Resolution Services Participant Questionnaires (Five Instruments)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/30/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved
Responses	765	0	0
Time Burden (Hours)	100	0	0
Cost Burden (Dollars)	6,437	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	765	660	-325	430
Annual Time Burden (Hours)	100	91	-25	34
Annual Cost Burden (Dollars)	6,437	6,173	264	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Most of the changes are the result of consolidating five separate ICR numbers into a single ICR with multiple ICs. The remaining differences are based on changes in agency estimates. One previous IC has been removed because it is no longer part of the program.

Annual Cost to Federal Government: $30,290

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: Gwendolyn Franks 520 901-8552 franks@udall.gov