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: 1910-1700	ICR Reference No: 202408-1910-002
Status: Active	Previous ICR Reference No: 202101-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Brenda Canterbury
Title: Privacy Act Administration
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/15/2025
	Date Received in OIRA: 09/25/2024
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	01/31/2028	36 Months From Approved	01/31/2025
Responses	390	0	406
Time Burden (Hours)	130	0	135
Cost Burden (Dollars)	11,199	0	17,766

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	390	406	-16
Annual Time Burden (Hours)	130	135	-5
Annual Cost Burden (Dollars)	11,199	17,766	-6,567

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change of burden from the previously approved submission is due to the decrease in the number of respondents, which has resulted in a reduction of annual burden hours. Additionally, the hourly rate for respondents has been updated to the 2023 basic hourly wage rate for a GS 14.

Annual Cost to Federal Government: $41,675

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: Yohanna Freeman 301 903-1151 yohanna.freeman@hq.doe.gov

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