Quarterly Survey of Public Pensions

Forms and Documents

Document Name	Status
Form F-10 (8-10-2015) Quarterly Survey of Public Pensions Form and Instruction	Modified
Section B Justification.docx Supporting Statement B	2015-09-10
Section A Justification.docx Supporting Statement A	2015-09-10

IC Document Collections

IC ID	Document Title	Status
3367	Quarterly Survey of Public Pensions Form and Instruction	Modified

ICR Details

OMB Control No: 0607-0143	ICR Reference No: 201509-0607-006
Status: Historical Active	Previous ICR Reference No: 201112-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Quarterly Survey of Public Pensions
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: 12/06/2015
	Date Received in OIRA: 09/25/2015
Terms of Clearance: Prior to the commencement of the Quarterly Survey of Public Pensions distribution, the Census Bureau shall provide on its Internet site prominent links to a set of finalized survey forms, including instructions and cover letters, comparable to those provided for the 2012 Economic Census report forms. The final forms and letters shall reflect any changes in the survey year, OMB number expiration date, and Census leadership from those submitted for review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	400	0	400
Time Burden (Hours)	300	0	300
Cost Burden (Dollars)	0	0	0

---

Abstract: The Census Bureau needs the F-10 to survey the asset balances of major public employee retirement systems. This form is the basis for a quarterly report that is used by the Federal Reserve Board (FRB) and the Bureau of Economic Analysis (BEA). This survey is input for the Federal Flow of Funds produced by the FRB and the Gross Domestic Product produced by the BEA.

---

Authorizing Statute(s): US Code: 13 USC 161, 182 Name of Law: null
  

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:
	79 FR 64743	10/31/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 57335	09/23/2015
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Quarterly Survey of Public Pensions	F-10 (8-10-2015)	Quarterly Survey of Public ensions

---

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	400	400	0	0	0	0
Annual Time Burden (Hours)	300	300	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:

---

Annual Cost to Federal Government: $380,000

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

---

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: 09/25/2015

---