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: 0412-0634	ICR Reference No: 202411-0412-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: AID	Agency Tracking No:
Title: USAID/Haiti Departure Planning Information Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 12/05/2024
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/04/2024
	Date Received in OIRA: 11/29/2024
Terms of Clearance: OIRA approves the emergency request for a period of six months. Should USAID wish to continue this collection beyond the six month approval period, USAID will publish a 60-day Federal Register notice to begin normal processing under the PRA within 45 days of this approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	6 Months From Approved
Responses	97	0	0
Time Burden (Hours)	146	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	97	97
Annual Time Burden (Hours)	146	146
Annual Cost Burden (Dollars)	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: New Collection

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. 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: Kelly Hamilton 202 710-2082 kehamilton@usaid.gov

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