View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0417-0501	ICR Reference No: 202408-0417-001
Status: Active	Previous ICR Reference No: 202108-0417-001
Agency/Subagency: IAF	Agency Tracking No: IAF-06
Title: Awardee Certifications and Disclosures
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: 11/15/2024
	Date Received in OIRA: 08/28/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2027	36 Months From Approved	11/30/2024
Responses	450	0	10
Time Burden (Hours)	90	0	15
Cost Burden (Dollars)	1,404	0	230

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	450	10	440
Annual Time Burden (Hours)	90	15	75
Annual Cost Burden (Dollars)	1,404	230	1,174

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 total annual burden is an increase from the previously claimed burden because this form adds certifications for various federal laws in addition to the conflict of interest disclosure form. For this reason all grantees, which is approximately 450 annually, will fill out this form regardless of whether the grantee has a conflict to disclose. The previously claimed burden only estimated that 10 grantees would need to disclose a conflict of interest.

Annual Cost to Federal Government: $1,711

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: Nicole Stinson 202 683-7117

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