OCR Pre-granted Automation Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
21138 ID_0945-0006 Final Technical Assistance Package.doc	Supplementary Document	Uploaded 2014-03-26	Available
21138 ID_ASSURANCE OF COMPLIANCE FORM 03-19-14.docx	Supplementary Document	Uploaded 2014-03-26	Available
21138 ID_0945-0006 OMB Supporting Statement Final.doc	Supporting Statement A	Uploaded 2014-03-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10370	OCR Pre-granted Automation Project	Other-form	Modified

ICR Details

OMB Control No: 0945-0006	ICR Reference No: 201403-0945-001
Status: Historical Active	Previous ICR Reference No: 201310-0945-001
Agency/Subagency: HHS/OCR	Agency Tracking No: 21138
Title: OCR Pre-granted Automation Project
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/29/2014
	Date Received in OIRA: 03/28/2014
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	04/30/2014
Responses	2,900	0	2,900
Time Burden (Hours)	23,200	0	23,200
Cost Burden (Dollars)	0	0	0

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Abstract: Recipients of HHS funds must review their policies/practices and submit documents to demonstrate compliance with the Civil Rights Requirements of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehab Act of 1973 and the Age Discrimination Act 1975.

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Authorizing Statute(s): PL: Pub.L. 93 - 112 504 Name of Law: null
   PL: Pub.L. 88 - 352 2000d-1 Name of Law: null
   PL: Pub.L. 93 - 516 794 Name of Law: null
   US Code: 42 USC 794 Name of Law: Rehabilatation Act
   US Code: 42 USC 6101 Name of Law: Age Discrimination Act
   US Code: 42 USC 2000d-1 Name of Law: Civil Rights Act
  

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 77466	12/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 16001	03/24/2014
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
OCR Pre-granted Automation Project

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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	2,900	2,900	0	0	0	0
Annual Time Burden (Hours)	23,200	23,200	0	0	0	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:

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Annual Cost to Federal Government: $1,280,000

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

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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: 03/28/2014

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