2009 Business Relocation Assistance Retrospective Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FHWA 2009Q 2009 Business Relocation Assistance Retrospective Study Personal Interview Questionnaire	Form and Instruction	New	Available
2009-11_Business_Relocation_Retrospective_OMB_Supporting_Statement_(2)[1].doc	Supporting Statement A	Uploaded 2010-08-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192664	2009 Business Relocation Assistance Retrospective Study	Form and Instruction	New	2009 Business Relocation Assistance Retrospective Study Personal Interview Questionnaire

ICR Details

OMB Control No: 2125-0624	ICR Reference No: 201004-2125-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FHWA	Agency Tracking No:
Title: 2009 Business Relocation Assistance Retrospective Study
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 with change	Conclusion Date: 08/17/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/03/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved
Responses	300	0	0
Time Burden (Hours)	1,200	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The primary focus of this information collection is to determine the costs that a business incurs which would be reimbursable if not for the statutory maximum reestablishment expenses and the additional in-lieu eligibility that a business would be eligible to receive. This information will be used by the Office of Real Estate Services to further asses the adequacy of the current benefit levels and also to document a need for benefit level update. In addition to determining these costs the contractor will also identify the types of benefits and services that relocated business believe will best ensure successful business relocation.

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Authorizing Statute(s): PL: Pub.L. 105 - 117 104 Name of Law: Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970,
  

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:
	74 FR 180	09/18/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 76	04/21/2010
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
2009 Business Relocation Assistance Retrospective Study	FHWA 2009Q	2009 Business Relocation Assistance Retrospective Study Personal Interview Questionnaire

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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	300	0	0	300	0	0
Annual Time Burden (Hours)	1,200	0	0	1,200	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: This is a new collection.

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Annual Cost to Federal Government: $176,210

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]? Uncollected

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: 06/03/2010

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