NMFS Observer Programs’ Information That Can Be Gathered Only Through Questions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Drift gillnet trip expense form	Form and Instruction	Unchanged	Available
Safety checklist	Form and Instruction	Unchanged	Available
Drift gillnet trip expenditure form	Form and Instruction	Unchanged	Available
Safety checklist	Form and Instruction	Unchanged	Repair queued
Reef fish and shrimp safety checklist	Form and Instruction	Modified	Repair queued
Observer notification form_shripm	Form and Instruction	Modified	Available
Observer notification form_reef fish	Form and Instruction	Modified	Available
Reef fish and shrimp observer evaluation form	Form and Instruction	Modified	Repair queued
Reimbursement for insurance expenses	Form and Instruction	Unchanged	Repair queued
Reimbursement for equipment expenses	Form and Instruction	Unchanged	Repair queued
Observer evaluation form	Form and Instruction	Unchanged	Available
Safety checklist	Form and Instruction	Unchanged	Available
Observer Notification Form	Form and Instruction	Unchanged	Available
Reimbursement for for assistance with bluefin tuna samplin	Form and Instruction	Unchanged	Available
Observer evaluation form	Form and Instruction	Unchanged	Repair queued
Reimbursement form	Form and Instruction	Unchanged	Available
Safety checklist	Form and Instruction	Unchanged	Available
Observer notification form	Form and Instruction	Unchanged	Available
Longline trip expenditures for Hawaiian Islands	Form and Instruction	Unchanged	Repair queued
Longline trip expenditures for American Samoa	Form and Instruction	Unchanged	Repair queued
Longline Gear Configuration	Form	Unchanged	Repair queued
Post cruise observer evaluation	Form and Instruction	Unchanged	Available
Placement meeting questions and checklist	Form and Instruction	Unchanged	Available
Safety checklist	Form and Instruction	Modified	Available
Fishermen's data request form	Form and Instruction	Modified	Available
Fishermen's Data Request Form	Form and Instruction	Unchanged	Repair queued
Safety checklist	Form and Instruction	Unchanged	Repair queued
Fishermen's comment card	Form and Instruction	Unchanged	Available
Data release form	Form and Instruction	Unchanged	Available
Tagged Fish and Crab Form	Form	Unchanged	Repair queued
Safety checklist	Form and Instruction	Unchanged	Available
Vessel/Plant Operator Comment Card Follow-up Form	Form and Instruction	Unchanged	Repair queued
Vessel/Plant Operator Comment Form	Form and Instruction	Unchanged	Available
Vessel reimbursement form	Form and Instruction	Unchanged	Available
Vessel and Trip Information Log	Form and Instruction	Unchanged	Repair queued
Safety checklist	Form and Instruction	Unchanged	Repair queued
Pre-Deployment Safety Checklist	Form and Instruction	Unchanged	Repair queued
NEFOP captain interview form	Form and Instruction	Unchanged	Repair queued
Fishermen's Comment Log	Form and Instruction	Unchanged	Repair queued
Fishermen's Comment Card	Form and Instruction	Unchanged	Available
Data release form	Form and Instruction	Unchanged	Repair queued
Twin trawl haul log	Form	Unchanged	Available
Trawl haul log	Form	Unchanged	Repair queued
Trawl gear characteristics log	Form	Unchanged	Available
Sea turtle biological sample log	Form	Unchanged	Repair queued
Scallop trawl off-watch haul log	Form	Unchanged	Available
Scallop trawl haul log	Form	Unchanged	Repair queued
Scallop trawl gear characteristics log	Form	Unchanged	Repair queued
Scallop dredge off-watch haul log	Form	Unchanged	Available
Scallop dredge haul log	Form	Unchanged	Available
Scallop dredge gear characteristics log	Form	Unchanged	Available
Purse Seine Set Log	Form	Unchanged	Available
Purse seine gear characteristics log	Form	Unchanged	Available
Protected species sighting log	Form	Unchanged	Repair queued
Pair and single midwater haul log	Form	Unchanged	Available
Pair and single midwater gear characteristics log	Form	Unchanged	Available
Marine mammal/sea turtle/sea bird incidental take log	Form	Unchanged	Repair queued
Marine mammal biological sample log	Form	Unchanged	Repair queued
Longline haul log	Form	Unchanged	Available
Longline gear characteristics log	Form	Unchanged	Available
Lobster, crab and fish pot haul log	Form	Unchanged	Available
Lobster, crab and fish pot gear characteristics	Form	Unchanged	Repair queued
Length Frequency Log	Form	Unchanged	Available
Individual Animal Log	Form	Unchanged	Available
Gillnet haul log	Form	Unchanged	Available
Gillnet Characteristics Log	Form	Unchanged	Repair queued
Crustacean Sample Log	Form	Unchanged	Available
Clam/Quohog dredge off-watch haul log	Form	Unchanged	Repair queued
Clam/Quahog Dredge Haul Log	Form	Unchanged	Available
Clam/quohog dredge gear characteristics log	Form	Unchanged	Available
Catch Estimation Worksheet	Form	Unchanged	Available
Carch composition log	Form	Unchanged	Available
Beach seine/beach anchored gillnet haul log	Form	Unchanged	Repair queued
Beach Sein Gear/Beach Anchored Gillnet Gear Characteristics	Form	Unchanged	Available
NMFS Fishery Observer Program Discard log	Form	Unchanged	Repair queued
0593 AY68 ChgReq Justification 102910rev.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2010-11-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
189859	Southwest Region Observer Program - currently unfunded but requesting burden approval	Form and Instruction	Unchanged	Drift gillnet trip expense form
189859	Southwest Region Observer Program - currently unfunded but requesting burden approval	Form and Instruction	Unchanged	Safety checklist
189859	Southwest Region Observer Program - currently unfunded but requesting burden approval	Other-PRA statement	Unchanged
189855	Southwest Region Observer Program - Funded	Form and Instruction	Unchanged	Drift gillnet trip expenditure form
189855	Southwest Region Observer Program - Funded	Form and Instruction	Unchanged	Safety checklist
189855	Southwest Region Observer Program - Funded	Other-PRA statement	Unchanged
189854	Gulf of Mexico Reef Fish and Shrimp Observer Program	Form and Instruction	Modified	Reef fish and shrimp safety checklist
189854	Gulf of Mexico Reef Fish and Shrimp Observer Program	Form and Instruction	Modified	Observer notification form_shripm
189854	Gulf of Mexico Reef Fish and Shrimp Observer Program	Form and Instruction	Modified	Observer notification form_reef fish
189854	Gulf of Mexico Reef Fish and Shrimp Observer Program	Instruction	Modified
189854	Gulf of Mexico Reef Fish and Shrimp Observer Program	Form and Instruction	Modified	Reef fish and shrimp observer evaluation form
189853	Southeast Pelagic Observer Program	Form and Instruction	Unchanged	Reimbursement for insurance expenses
189853	Southeast Pelagic Observer Program	Form and Instruction	Unchanged	Reimbursement for equipment expenses
189853	Southeast Pelagic Observer Program	Form and Instruction	Unchanged	Observer evaluation form
189853	Southeast Pelagic Observer Program	Form and Instruction	Unchanged	Safety checklist
189853	Southeast Pelagic Observer Program	Form and Instruction	Unchanged	Observer Notification Form
189853	Southeast Pelagic Observer Program	Instruction	Unchanged
189853	Southeast Pelagic Observer Program	Form and Instruction	Unchanged	Reimbursement for for assistance with bluefin tuna samplin
189852	Southeast Shark Fishery Observer Program	Form and Instruction	Unchanged	Observer evaluation form
189852	Southeast Shark Fishery Observer Program	Form and Instruction	Unchanged	Reimbursement form
189852	Southeast Shark Fishery Observer Program	Form and Instruction	Unchanged	Safety checklist
189852	Southeast Shark Fishery Observer Program	Form and Instruction	Unchanged	Observer notification form
189852	Southeast Shark Fishery Observer Program	Instruction	Unchanged
189851	Pacific Islands Region Observer Program	Form and Instruction	Unchanged	Longline trip expenditures for Hawaiian Islands
189851	Pacific Islands Region Observer Program	Form and Instruction	Unchanged	Longline trip expenditures for American Samoa
189851	Pacific Islands Region Observer Program	Form	Unchanged	Longline Gear Configuration
189851	Pacific Islands Region Observer Program	Form and Instruction	Unchanged	Post cruise observer evaluation
189851	Pacific Islands Region Observer Program	Form and Instruction	Unchanged	Placement meeting questions and checklist
189851	Pacific Islands Region Observer Program	Other-PRA statement	Unchanged
189850	WCGOP: West Coast Groundfish Observer Program	Form and Instruction	Modified	Safety checklist
189850	WCGOP: West Coast Groundfish Observer Program	Instruction	Modified
189850	WCGOP: West Coast Groundfish Observer Program	Form and Instruction	Modified	Fishermen's data request form
189842	At-Sea Hake Observer Program (Northwest)	Form and Instruction	Unchanged	Fishermen's Data Request Form
189842	At-Sea Hake Observer Program (Northwest)	Form and Instruction	Unchanged	Safety checklist
189842	At-Sea Hake Observer Program (Northwest)	Other-PRA statement	Unchanged
189838	Alaska Marine Mammal Observer program	Form and Instruction	Unchanged	Fishermen's comment card
189838	Alaska Marine Mammal Observer program	Form and Instruction	Unchanged	Data release form
189838	Alaska Marine Mammal Observer program	Other-PRA statement	Unchanged
189835	North Pacific Groundfish Observer Program	Form	Unchanged	Tagged Fish and Crab Form
189835	North Pacific Groundfish Observer Program	Form and Instruction	Unchanged	Safety checklist
189835	North Pacific Groundfish Observer Program	Form and Instruction	Unchanged	Vessel/Plant Operator Comment Card Follow-up Form
189835	North Pacific Groundfish Observer Program	Form and Instruction	Unchanged	Vessel/Plant Operator Comment Form
189835	North Pacific Groundfish Observer Program	Other-PRA statement	Unchanged
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Vessel reimbursement form
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Vessel and Trip Information Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Safety checklist
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Pre-Deployment Safety Checklist
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	NEFOP captain interview form
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Fishermen's Comment Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Fishermen's Comment Card
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form and Instruction	Unchanged	Data release form
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Instruction	Unchanged
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Twin trawl haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Trawl haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Trawl gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Sea turtle biological sample log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Scallop trawl off-watch haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Scallop trawl haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Scallop trawl gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Scallop dredge off-watch haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Scallop dredge haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Scallop dredge gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Purse Seine Set Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Purse seine gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Protected species sighting log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Pair and single midwater haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Pair and single midwater gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Marine mammal/sea turtle/sea bird incidental take log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Marine mammal biological sample log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Longline haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Longline gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Lobster, crab and fish pot haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Lobster, crab and fish pot gear characteristics
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Length Frequency Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Individual Animal Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Gillnet haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Gillnet Characteristics Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Crustacean Sample Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Clam/Quohog dredge off-watch haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Clam/Quahog Dredge Haul Log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Clam/quohog dredge gear characteristics log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Catch Estimation Worksheet
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Carch composition log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Beach seine/beach anchored gillnet haul log
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	Beach Sein Gear/Beach Anchored Gillnet Gear Characteristics
189834	Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	Form	Unchanged	NMFS Fishery Observer Program Discard log

ICR Details

OMB Control No: 0648-0593	ICR Reference No: 201012-0648-013
Status: Historical Active	Previous ICR Reference No: 201003-0648-006
Agency/Subagency: DOC/NOAA	Agency Tracking No:
Title: NMFS Observer Programs’ Information That Can Be Gathered Only Through Questions
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/15/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/15/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2012	09/30/2012	09/30/2012
Responses	20,643	0	18,394
Time Burden (Hours)	26,172	0	23,680
Cost Burden (Dollars)	1,163	0	1,000

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Abstract: In 2011, fisheries management changes will increase observer coverage in the Northwest Region, which necessitates an increase in burden hour estimates for Office of Management and Budget (OMB) Control No. 0648-0593. The additional burden hours comes from additional trips that will be observed by the West Coast Groundfish Observer Program (WCGOP). The revised estimate of the burden minutes per observed trip (current and sector trips) is the total burden for all information collections divided by the number of observed trips (all trips will be observed). In addition, one additional question will be asked: “What first receiver (dealer) are you delivering to?” This question is the same as “Dealer’s name if the catch is not sold immediately after arrival in port” which is already included in the OMB Control No. 0648-0593. Additional burden hours per trip were not needed to incorporate this question as there is a reduction of burden hours due to two questions no longer being asked of the limited entry trawl fleet: “Did you receive your selection letter?” and “Will you be fishing during the specified period?”. Thus, the overall burden for OMB Control No. 0648-0593 will change from the currently approved 23,680 to 25,561 with the addition of 1,881 hours and responses, from 18,394 to 20,294, based on the absolute difference of 1,900 trips. Reporting/recordkeeping costs will increase from the currently approved $1,000 to $1,136.

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Authorizing Statute(s): US Code: 16 USC 31 Name of Law: Marine Mammal Protection Act of 1972
   US Code: 16 USC 1531-1544 Name of Law: Endangered Species Act of 1973
   PL: Pub.L. 94 - 265 303 Name of Law: Magnuson-Stevens Fishery Conservation and Management Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Final or interim final rulemaking	75 FR 78344	12/15/2010

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 9387	03/04/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 38393	08/03/2009
Did the Agency receive public comments on this ICR? Yes

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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
Alaska Marine Mammal Observer program	NA, NA	Data release form ,   Fishermen's comment card
At-Sea Hake Observer Program (Northwest)	NA, NA	Safety checklist ,   Fishermen's Data Request Form
Gulf of Mexico Reef Fish and Shrimp Observer Program	NA, NA, NA, NA	Observer notification form_reef fish ,   Observer notification form_shripm ,   Reef fish and shrimp safety checklist ,   Reef fish and shrimp observer evaluation form
North Pacific Groundfish Observer Program	NA, NA, NA, NA	Vessel/Plant Operator Comment Form ,   Vessel/Plant Operator Comment Card Follow-up Form ,   Safety checklist ,   Tagged Fish and Crab Form
Northeast Fisheries Observer Program (forms all/mostly completed by fishermen at end)	NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, NA	Beach Sein Gear/Beach Anchored Gillnet Gear Characteristics ,   Beach seine/beach anchored gillnet haul log ,   Carch composition log ,   Catch Estimation Worksheet ,   Clam/quohog dredge gear characteristics log ,   Clam/Quahog Dredge Haul Log ,   Clam/Quohog dredge off-watch haul log ,   Crustacean Sample Log ,   Gillnet Characteristics Log ,   Gillnet haul log ,   Individual Animal Log ,   Length Frequency Log ,   Lobster, crab and fish pot gear characteristics ,   Lobster, crab and fish pot haul log ,   Longline gear characteristics log ,   Longline haul log ,   Marine mammal biological sample log ,   Marine mammal/sea turtle/sea bird incidental take log ,   Pair and single midwater gear characteristics log ,   Pair and single midwater haul log ,   Protected species sighting log ,   Purse seine gear characteristics log ,   Purse Seine Set Log ,   Scallop dredge gear characteristics log ,   Scallop dredge haul log ,   Scallop dredge off-watch haul log ,   Scallop trawl gear characteristics log ,   Scallop trawl haul log ,   Scallop trawl off-watch haul log ,   Sea turtle biological sample log ,   Trawl gear characteristics log ,   Trawl haul log ,   Twin trawl haul log ,   Data release form ,   Fishermen's Comment Card ,   Fishermen's Comment Log ,   NEFOP captain interview form ,   Pre-Deployment Safety Checklist ,   Safety checklist ,   Vessel and Trip Information Log ,   Vessel reimbursement form ,   NMFS Fishery Observer Program Discard log
Pacific Islands Region Observer Program	NA, NA, NA, NA, NA	Placement meeting questions and checklist ,   Post cruise observer evaluation ,   Longline Gear Configuration ,   Longline trip expenditures for American Samoa ,   Longline trip expenditures for Hawaiian Islands
Southeast Pelagic Observer Program	NA, NA, NA, NA, NA, NA	Observer Notification Form ,   Safety checklist ,   Observer evaluation form ,   Reimbursement for for assistance with bluefin tuna samplin ,   Reimbursement for equipment expenses ,   Reimbursement for insurance expenses
Southeast Shark Fishery Observer Program	NA, NA, NA, NA	Observer notification form ,   Safety checklist ,   Reimbursement form ,   Observer evaluation form
Southwest Region Observer Program - Funded	NA, NA	Safety checklist ,   Drift gillnet trip expenditure form
Southwest Region Observer Program - currently unfunded but requesting burden approval	NA, NA	Safety checklist ,   Drift gillnet trip expense form
WCGOP: West Coast Groundfish Observer Program	NA, NA	Safety checklist ,   Fishermen's data request form

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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	20,643	18,394	0	2,249	0	0
Annual Time Burden (Hours)	26,172	23,680	0	2,492	0	0
Annual Cost Burden (Dollars)	1,163	1,000	0	163	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: The additional burden hours comes from additional trips that will be observed by the West Coast Groundfish Observer Program (WCGOP). The revised estimate of the burden minutes per observed trip (current and sector trips) is the total burden for all information collections divided by the number of observed trips (all trips will be observed).

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 11/03/2010

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