Various contract related forms that will be included in the Homeland Security Acquisition Regulation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1625-0017_NoC_r0_2010.doc	Supplementary Document	Uploaded 2011-02-03	Available
1625-0017_StatA.pdf	Supplementary Document	Uploaded 2011-01-11	Available
30 Day Federal Register.doc	Supplementary Document	Uploaded 2011-01-11	Available
1625-0017 60-Day FRN.doc	Supplementary Document	Uploaded 2011-01-11	Available
1625-0017_SS_r2_2011.doc	Supporting Statement A	Uploaded 2011-05-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20475	Exemption Certificate	Instruction	Modified
182761	Document of Compliance	Instruction	Modified
182226	Notice of Completion of Examination for Safety Certificate	Instruction	Modified
182225	International Ship Safety Certificate	Instruction	Modified
182224	Interim International Ship Security Certificate	Instruction	Modified
182223	Amendments to the Continuous Synopsis Record (CSR) Document Number for the Ship with IMO Number	Instruction	Modified
182222	High-speed Craft Safety Certificate	Instruction	Modified
182221	Continuous Synopsis Record (CSR) Document Number for the Ship with IMO Number	Instruction	Modified
182218	Safety Management Certificate	Instruction	Modified
182216	Cargo Ship Safety Equipment Certificate	Instruction	Modified
182214	Passenger Ship Safety Certificate and Record Forms	Instruction	Modified

ICR Details

OMB Control No: 1625-0017	ICR Reference No: 200904-1625-002
Status: Historical Active	Previous ICR Reference No: 200706-1625-002
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Various contract related forms that will be included in the Homeland Security Acquisition Regulation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2011
	Date Received in OIRA: 02/24/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	05/31/2011
Responses	1,699	0	2,864
Time Burden (Hours)	169	0	127
Cost Burden (Dollars)	0	0	0

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Abstract: During contract administration, there may be instances where a contractor or the contractor's employee requires submission of one ofthe forms; or the form may be necessary to implement Federal statute/regulation.

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Authorizing Statute(s): US Code: 41 USC 401 Name of Law: Office of Federal Procurement Policy Act of 1974
  

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:
	75 FR 69688	11/15/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 10385	02/24/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Safety Management Certificate
Cargo Ship Safety Equipment Certificate
International Ship Safety Certificate
Exemption Certificate
Document of Compliance
Continuous Synopsis Record (CSR) Document Number for the Ship with IMO Number
Amendments to the Continuous Synopsis Record (CSR) Document Number for the Ship with IMO Number
Interim International Ship Security Certificate
High-speed Craft Safety Certificate
Notice of Completion of Examination for Safety Certificate
Passenger Ship Safety Certificate and Record Forms

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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	1,699	2,864	0	0	-1,165	0
Annual Time Burden (Hours)	169	127	0	0	42	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: The change in burden is an ADJUSTMENT due to change (i.e., increase) in vessel population. Recently, the Coast Guard shifted its commercial vessel safety database from MSIS to MISLE. This change in databases has allowed us to improve our estimate of the number of reporting and recordkeeping activities related to this COI. There has been no change to the information being collected. While we have an increase in vessel population, this ICR reports a decrease in the estimated annual number of responses. That is because of an error in our last submission. Our 2007 ICR (approved 29 Feb 2008) should have indicated 1,276 annual responses vice the 2,864 reported.

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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]? 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? 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: 02/24/2011

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