Reparations Complaint, CFTC Form 30

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 30 2017-24683.pd 30 Day FRN.pdf	Supplementary Document	Uploaded 2017-11-15	Available
Form 30 60 Day FRN 2017-18511.pd.pdf	Supplementary Document	Uploaded 2017-11-15	Available
cftcform30.pdf	Supplementary Document	Uploaded 2017-11-15	Available
Supporting Statement for Final or 30-Day Notice- Form 30 (2017).doc	Supporting Statement A	Uploaded 2017-11-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229056	Reparations Complaint, CFTC Form 30		New

ICR Details

OMB Control No: 3038-0115	ICR Reference No: 201711-3038-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CFTC	Agency Tracking No:
Title: Reparations Complaint, CFTC Form 30
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: 02/08/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/15/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	15	0	0
Time Burden (Hours)	23	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Pursuant to Section 14(b) of the Act, Congress provided the Commission with authority to promulgate rules necessary to administer the Reparations program. In 1984, the Commission promulgated Part 12 of the Commission regulations to administer Section 14. Rule 12.13 provides the standards and procedures for filing a Reparations complaint. Specifically, subparagraph (b) describes the form and content requirements of a complaint. Form 30 mirrors the requirements set forth in subparagraph (b). Form 30 was created to assist customers, who are typically pro se and non-lawyers. It was also designed as a way to give proper notice to respondents of the charges against them. The purpose of Reparations is to provide a low-cost, efficient, and effective forum to resolve private disputes involving potential violations of the Act and/or Regulations. This form is critical to fulfilling this policy goal. Accordingly, the Commission is requesting an OMB control number to continue use Form 30.

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Authorizing Statute(s): US Code: 7 USC 18 Name of Law: CEA
  

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 41614	09/01/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 52890	11/15/2017
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
Reparations Complaint, CFTC Form 30

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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	15	0	0	15	0	0
Annual Time Burden (Hours)	23	0	0	23	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: A new collection is being for Form 30 to obtain information regarding Reparations complaints.

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Annual Cost to Federal Government: $0

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.     Yes

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.     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: 11/15/2017

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