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pdfPAPERWORK REDUCTION ACT
USITC IMPORT INJURY INVESTIGATIONS
GENERIC CLEARANCE SUBMISSION
OMB CONTROL NUMBER 3117-0016
This form should only be used if you are submitting a collection of information for approval under the USITC import injury investigation
clearance assigned OMB Control Number 3117-0016. Submit this form, responses to the supplemental questions (if necessary), the
collection instrument, and any additional documentation to: Office of Information and Regulatory Affairs, Office of Management and
Budget, Docket Library, Room 10102, 725 17th Street NW, Washington, D.C. 20503.
If the collection does not satisfy the requirements of the program clearance, you should follow the regular PRA clearance procedures
described in 5 CFR 1320.
Inv. no. & title
Investigation Nos. 701-TA-502 and 731-TA-1227-1228 (Preliminary), Steel Concrete Reinforcing Bar
from Mexico and Turkey
Agency contact (person who can best answer questions about the content of the submission)
Michael Szustakowski
Name
Type
USITC number
Producer questionnaire
14-1-3166
Importer questionnaire
14-2-3167
Purchaser questionnaire
14-3-
Foreign producer
questionnaire
14-4-3168
Notice of institution
Other questionnaire
___________________
1
Number of
questionnaires
to be
mailed
11
45
E-mail
[email protected]
Burden hour estimates of the actual burden imposed (i.e., the number of completed questionnaires EXPECTED to
be returned and the hours per response for a firm to (1) review instructions, (2) search data sources, and (3)
complete and review its questionnaire response). Do NOT include anticipated certifications of non-applicability
here.
Number of
responses
(1)
8
15
Hours
per response
(2)
Cost per
hour
(3)
Total
burden hours
(1) x (2)
400
50
40
600
Cost per
response (2) x
(3)
Cumulative
burden hours1
62,150
N/A
N/A
N/A
N/A
62,750
62,750
50
10
20
200
62,9250
0
14-5-
0
11-
Aggregate burden
1
202-205-3169
Phone
0
0
62,950
62,950
62,950
Obtain from the Statistical Services Division.
Certification: The collections of information requested by this submission meet the requirement of the OMB approval for OMB Control
Number 3117-0016.
/s/ Catherine DeFilippo
Signature of Program Official
/s/ Catherine DeFilippo
Signature of USITC Paperwork Clearance Officer
Date
Date
Signature of OIRA Official
Date submitted to OMB
Date
Date approval received
Instructions for Submission under USITC Import Injury Investigation Clearance.
1.
Consult with the USITC Paperwork Clearance Officer to confirm that your survey meets the conditions for
submission under this clearance.
2.
If this collection or its subsequent analysis will employ statistical methods, complete Part B of the Supporting
Statement for the Form 83-I.
3.
Complete the cover sheet electronically and then print an sign it. As you enter data (or amend existing data) in
columns 1 (number of responses), 2 (hours per response), and 3 (cost per hour), the form will automatically
calculate the total burden hours, cost per response, and appropriate totals/averages. If you have no producer
questionnaires, no importer questionnaires, no purchaser questionnaires, or no foreign producer questionnaires,
please delete the hours per response value associated with the questionnaire(s) that you have no responses for. In
other words, if you have no foreign producer questionnaires, delete the “20" in the hours per response column. The
USITC Paperwork Clearance Officer will fill in the line marked “Cumulative Burden Hours under Program
Clearance.” Note: OMB will call the person listed as the Agency Contact to ask any questions about the survey.
4.
Give the cover sheet, the answers to Part B (if appropriate), a copy of the survey, and any other helpful information
to the USITC Paperwork Clearance Officer, who will review the materials, sign the cover sheet, and send the
package to OIRA. You will be notified when the survey is approved under OMB Control Number 3117-0016.
Do not conduct the survey until you receive this approval.
File Type | application/pdf |
File Title | Microsoft Word - OMB submission form |
Author | michael.szustakowski |
File Modified | 2013-09-09 |
File Created | 2013-09-09 |