Work Authorization System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
DOE O4121Aworkauthorization.pdf	Supplementary Document	Uploaded 2006-12-07	Available
WorkAuthorizationclause.pdf	Supplementary Document	Uploaded 2006-12-07	Available
Supptstmt.06.pdf	Supporting Statement A	Uploaded 2006-11-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44884	Work Authorization		New

ICR Details

OMB Control No: 1910-5132	ICR Reference No: 200608-1910-012
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No:
Title: Work Authorization System
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 03/02/2007
	Date Received in OIRA: 12/14/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	36 Months From Approved
Responses	33	0	0
Time Burden (Hours)	528	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information being collected provides for a work authorization and control process for work performed by designated site and facility management contractors, as well as other contractors as determined by the procurement executive, consistent with the budget execution and program evaluation requirements of the DOE Planning, Programming, Budgeting, and Evaluation process.

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Authorizing Statute(s): US Code: 42 USC 7254 Name of Law: Department of Energy Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1991-AB62	Proposed rulemaking	70 FR 145	07/29/2005

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 186	09/26/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 226	11/24/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Work Authorization

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	33	0	0	33	0	0
Annual Time Burden (Hours)	528	0	0	528	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: Changing Regulations

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

Burden Reduction Due to:

Short Statement: DOE is processing a rule making which will add a new clause DEAR 970.5211-1, Work Authorization. The clause incorporates requirements that are presently located in the contractor’s requirements document attached to DOE O 412.1 Work Authorization System.

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Annual Cost to Federal Government: $3,960

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/14/2006

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