View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No: 2105-0554	ICR Reference No: 202605-2105-001
Status: Received in OIRA	Previous ICR Reference No: 202304-2105-002
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Counseling Information Form; Regional Center Intake Form and Quarterly (formerly Monthly) Report of Operations Form.
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/23/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	2,593	100
Time Burden (Hours)	3,854	150
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	2,593	100	2,493
Annual Time Burden (Hours)	3,854	150	3,704
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: The previously estimated number of respondents has increased, however the time to complete the form has remained the same; hence the total increase in the # of responses and total burden time.

Annual Cost to Federal Government: $12,137

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: Peter Kontakos 202 366-7650

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.