Office of Investment Policy Questionnaire

Forms and Documents

Document Name	Status
Form OPIC-248 Office of Investment Policy Questionnaire Form and Instruction	Modified
OPIC 248 OIP Questionnaire Marked Up Version 103015.docx Supplementary Document	2015-10-30
OPIC Form 248v2 Supporting Statement Final.doc Supporting Statement A	2015-10-30

IC Document Collections

IC ID	Document Title	Status
202810	Office of Investment Policy Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 3420-0032	ICR Reference No: 201510-3420-003
Status: Historical Active	Previous ICR Reference No: 201502-3420-002
Agency/Subagency: OPIC	Agency Tracking No: OPIC-248
Title: Office of Investment Policy Questionnaire
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: 12/11/2015
	Date Received in OIRA: 10/30/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	04/30/2018
Responses	230	0	230
Time Burden (Hours)	644	0	552
Cost Burden (Dollars)	48,300	0	41,400

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Abstract: The Office of Investment Policy Questionnaire is the principal document used by OPIC to prepare a developmental impact profile for potential projects and determine the project’s projected impact on the United States, as well as to determine the project’s compliance with environmental and labor policies, as consistent with OPIC’s authorizing legislation.

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Authorizing Statute(s): US Code: 22 USC 231 Name of Law: Foreign Assitance Act of 1961
  

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:
	80 FR 38241	07/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 58793	09/30/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Office of Investment Policy Questionnaire	OPIC-248	Office of Investment Policy Questionnaire

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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	230	230	0	0	0	0
Annual Time Burden (Hours)	644	552	0	92	0	0
Annual Cost Burden (Dollars)	48,300	41,400	0	6,900	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: There is an increase in the cost to the Federal government due to the incorporation of two additional questions, a request to attach supplementary documents with the electronic submission of the form, and a slight increase in the GS scale.

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Annual Cost to Federal Government: $28,389

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? Yes

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: 10/30/2015

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