Employee Concerns Program Federal/Contractor Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ECP Survey- Supporting Statement.doc	Supporting Statement A	Uploaded 2008-04-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184153	Employee Concerns Program Federal/Contractor Survey	Other-Electronic Questionnaire	New

ICR Details

OMB Control No: 1910-5135	ICR Reference No: 200803-1910-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Liza Almo
Title: Employee Concerns Program Federal/Contractor Survey
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: Approved without change	Conclusion Date: 08/15/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/10/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2009	36 Months From Approved
Responses	40,000	0	0
Time Burden (Hours)	10,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: DOE, federal and contractor employees, including supervisors and managers at any level in an organization, may report employee concerns related to the environment, safety, health, and management of DOE and National Nuclear Security Administration programs and facilities to Headquarters or field elements’ ECPs. The Office of Civil Rights and Diversity, in coordination with the DOE and Contractor ECP Managers, is conducting an ECP Improvement Initiative. The objective of the ECP Improvement Initiative is to develop requirements, processes, procedures, and mechanisms to ensure there is consistent application of employee concerns processing and standards within the Department, as well as align the Department with nuclear industry standard practices

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Authorizing Statute(s): EO: EO 12344 Name/Subject of EO: Naval Propulsion Act
   PL: Pub.L. 93 - 502 552 Name of Law: Freedom of Information Act of 1974, as amended
   PL: Pub.L. 93 - 579 552a Name of Law: Privacy Act of 1974
   PL: Pub.L. 106 - 65 3201-3299 Name of Law: DoD Authorization Act of 2000
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 244	12/20/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 51	03/14/2008
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
Employee Concerns Program Federal/Contractor Survey

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ICR Summary of Burden

table that charts list 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	40,000	0	0	0	40,000	0
Annual Time Burden (Hours)	10,000	0	0	0	10,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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:

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Annual Cost to Federal Government: $0

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: 04/10/2008

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