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View RCF - OIRA Conclusion
RCF ID:
202404-1405-001CF
Previous RCF ID:
Status:
Active
Expiration Date:
03/31/2027
Agency/Subagency:
STATE/AFA
Agency Tracking No:
Host OMB Control No:
1670-0052
Host ICR Reference No:
202311-1670-001
Title:
Self Attestation Common Form
Type of RCF:
RCF New
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/24/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/24/2024
Terms of Clearance:
Description of Agency Usage:
Reason for using the form is that M-22-18 requires the use of the form unless an agency wants to pursue their own form, which we do not.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Paul Bean 202 341-0401
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Secure Software Development Attestation Form
929
2,251
0
Form and Instruction
N/A
Secure Software Sefl-Attestation Common Form
RCF Summary of Burden:
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
929
0
0
929
0
0
Annual Time Burden (Hours)
2,251
0
0
2,251
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
State is using the form because M-22-18 requires the use of the form unless an agency wants to pursue their own form, which State Department does not. We will require approximately 500 people to complete this form.