Application for Conveyance of Port Facility Property, formerly Port Facility Conveyance Information

Forms and Documents

Document Name	Status
Form MA-1047 Port Facility Conveyance Information Form and Instruction	Modified
DOT Order No 1050 2A.docx Supplementary Document	2017-12-12
Supporting Statement - Revised.docx Supporting Statement A	2017-12-12
30-day FRN.pdf Supplementary Document	2017-04-27
60-day FRN.pdf Supplementary Document	2017-04-27

IC Document Collections

IC ID	Document Title	Status
26674	Port Facility Conveyance Information Form and Instruction	Modified

ICR Details

OMB Control No: 2133-0524	ICR Reference No: 201704-2133-002
Status: Historical Active	Previous ICR Reference No: 201403-2133-009
Agency/Subagency: DOT/MARAD	Agency Tracking No: 2133-0524
Title: Application for Conveyance of Port Facility Property, formerly Port Facility Conveyance Information
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 with change	Conclusion Date: 01/10/2018
	Date Received in OIRA: 05/03/2017
Terms of Clearance: The agency has been given an 18-month approval during which time the agency will work with OMB on updating its privacy documentation. When the agency next submits this collection for review, it will have performed a Privacy Impact Assessment on the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved	01/31/2018
Responses	13	0	10
Time Burden (Hours)	572	0	440
Cost Burden (Dollars)	0	0	0

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Abstract: Public Law 103-160 authorized the Department of Transportation to convey to public entities, surplus and excess Federal real and related personal property needed for development or operation of a port facility. The requested information is required to evaluate the need for the property. Compliance data is required on a yearly basis to determine that conveyed property is being used in accordance with the terms of the conveyance.

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Authorizing Statute(s): US Code: 40 USC 554 Name of Law: Federal Property and Administrative Services 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:
	82 FR 6723	01/19/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 18965	04/24/2017
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
Port Facility Conveyance Information	MA-1047	Application for Conveyance of Port Facility Property

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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	13	10	0	0	3	0
Annual Time Burden (Hours)	572	440	0	0	132	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 change in the number of responses and burden hours is due to an increase in the number of applications that were received.

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Annual Cost to Federal Government: $34,788

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 05/03/2017

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