Forest Service Law Enforcement and Investigations Ride-Along Program

Forms and Documents

Document Name	Status
Form FS-5300-33 Forest Service LEI Ride-Along Program Application and Indemnity Agreement Form and Instruction	Modified
0596-0170 Burden Spreadsheet v11-26-12.xlsm Supplementary Document	2012-12-18
0596-0170 2013 Supporting Statement v12-26-12.docx Supporting Statement A	2012-12-26

IC Document Collections

IC ID	Document Title	Status
3282	Forest Service LEI Ride-Along Program Application and Indemnity Agreement Form and Instruction	Modified

ICR Details

OMB Control No: 0596-0170	ICR Reference No: 201210-0596-003
Status: Historical Active	Previous ICR Reference No: 200903-0596-001
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Forest Service Law Enforcement and Investigations Ride-Along Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/02/2013
	Date Received in OIRA: 12/26/2012
Terms of Clearance: In accordance with 5 CFR 1320, this information collection has been approved for 3 years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2016	36 Months From Approved	04/30/2013
Responses	300	0	200
Time Burden (Hours)	24	0	16
Cost Burden (Dollars)	0	0	0

---

Abstract: The information collection is voluntary and submitted by the public as an application to participate as a Ride-along with a USDA-Forest Service law enforcement officer or agent.

---

Authorizing Statute(s): US Code: 16 USC 551 Name of Law: Organic Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 39208	07/02/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 74633	12/17/2012
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Forest Service LEI Ride-Along Program Application and Indemnity Agreement	FS-5300-33, FS-5300-34	Information Statement and Application ,   Assumption of Risk, Waiver of Liability, and Indemnity Agreement

---

ICR Summary 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	200	0	0	100	0
Annual Time Burden (Hours)	24	16	0	0	8	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 previously approved burden hours of 16 has increased to 24 due to an increase in the estimated number of respondents. The associated cost to respondents has changed from $166 to $538 due to an increase in the average respondent hourly wage estimate, and due to an increase in the estimated number of respondents and associated burden hours.

---

Annual Cost to Federal Government: $7,536

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

---

Common Form ICR:  No

---

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: 12/26/2012

---