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View ICR - OIRA Conclusion

OMB Control No: 0508-0002	ICR Reference No: 202408-0508-001
Status: Historical Active	Previous ICR Reference No: 202212-0508-001
Agency/Subagency: USDA/AgOCR	Agency Tracking No:
Title: USDA Program Discrimination Complaint Form
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/30/2024
	Date Received in OIRA: 08/29/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved
Responses	280	0	0
Time Burden (Hours)	280	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	280	2	278
Annual Time Burden (Hours)	280	2	278
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: This is a reinstatement with change of a previously approved collection for which approval has expired. There is a change in the number of respondents estimated in 2021. The agency is requesting an estimated 280 total annual burden hours. The number of total annual respondents cited in this supporting statement shows an increase by 2 from 278 respondents in 2022 to a projected 280 respondents. The methodology includes an average of program complaint participants over the three-year period from 2020, 2021 and 2022. This increase in respondents and is a modification that is not the result of deliberate federal government action uncontrollable not due to no direct action from the Federal government action.

Annual Cost to Federal Government: $4,284

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: Warren Brooks 202 260-3978

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