Pesticide Protection Equipment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form QID Pesticide Protection Equipment Survey	Form and Instruction	New	Available
NEW - Pesticide Protection Equipment - SSB - 2013 - 04-02-2014.docx	Supporting Statement B	Uploaded 2014-04-02	Available
NEW - Pesticide Protection Equipment - SSA - 2013 - 04-02-2014.docx	Supporting Statement A	Uploaded 2014-04-02	Available
PC - Pesticide Safety - Jean Public - Reply August 28, 2013.docx	Supplementary Document	Uploaded 2013-11-04	Available
DRAFT_Screener_Cover_Letter.docx	Supplementary Document	Uploaded 2013-11-04	Available
PIA - NASS UNIX MA Oct. 2011.doc	Supplementary Document	Uploaded 2013-11-04	Repair queued
NASDA - 004 Revised - June 2009.doc	Supplementary Document	Uploaded 2013-11-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209187	Pesticide Protection Equipment Survey - Non-response	Other-Non-response statement	New
209185	Pesticide Protection Equipment Survey	Form and Instruction	New

ICR Details

OMB Control No: 0535-0253	ICR Reference No: 201311-0535-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/NASS	Agency Tracking No:
Title: Pesticide Protection Equipment
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 without change	Conclusion Date: 04/03/2014
	Date Received in OIRA: 11/26/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	36 Months From Approved
Responses	3,300	0	0
Time Burden (Hours)	822	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a new data collection. This survey is being conducted under a cooperative agreement between NASS and NIOSH. The focus of the survey is to measure pesticide safety practices used by Pennsylvania crop farmers. The first year of this survey will be conducted as a pilot study.

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Authorizing Statute(s): US Code: 7 USC 2276 Name of Law: Confidentiality of Information
   US Code: 7 USC 2204 Name of Law: General Duties of the Secretary
   US Code: 7 USC 3601.1 Name of Law: Freedom of Information Act
   US Code: 18 USC 1905 Name of Law: Disclosure of Confidential Information
   PL: Pub.L. 107 - 347 503(a) Name of Law: CIPSEA
  

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:
	78 FR 88	05/07/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 70528	11/26/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Pesticide Protection Equipment Survey - Non-response
Pesticide Protection Equipment Survey	QID, QID, QID	Pesticide Safety Practices Survey ,   Pesticide Safety Practices Screener ,   Respondent Reference Sheet

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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	3,300	0	0	3,300	0	0
Annual Time Burden (Hours)	822	0	0	822	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 data collection.

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Annual Cost to Federal Government: $145,000

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: 11/26/2013

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