DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
1090-0011 30 Day Notice 83 FR 44299.pdf Supplementary Document	2018-08-30
1090-0011 Guidelines for Submission--2018.pdf Supplementary Document	2018-07-26
1090-0011 SSA Update 07232018.docx Supporting Statement A	2018-07-23
1090-0011 SSB Final 07232018.docx Supporting Statement B	2018-07-23
DI-4011 Fast Track Request Form 07262018.pdf Supplementary Document	2018-07-26
1090-0011 60-day FRN Published 03222018 83FR12590 2018-05842.pdf Supplementary Document	2018-07-23
EO 13571 Streamlining Service Delivery and Improving Customer Service.pdf Supplementary Document	2018-07-23
EO 12862 Setting Customer Service Standards.pdf Supplementary Document	2018-07-23

IC Document Collections

IC ID	Document Title	Status
244839	"HAYWIRED: AN ECONOMIC DISASTER?" EVALUATION Other-Costomer Satisfaction Survey	New
244333	Focus Group Interviews and User Testing to Assess Hunter Attitudes toward the HIP Questions and Migratory Bird Harvest Survey Other-Tech Test Email 2	New
244121	National Water Dashboard User Survey Other-Survey Instrument	New
243528	Web-based Cognitive Interviews to Pre-test the 2022 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation (FHWAR) Other-FHWAR email for license holders	New
243479	WaterAlert SMS User Satisfaction Survey Other-Survey	New
243060	Yosemite Wilderness Survey An App-based Data Collection Approach (Pilot) Other-Questionnaire Pilot	New
242543	EDMAP Alumni Questionnaire Other-Questionnaire	New
242497	USFWS Pacific Northwest Bumble Bee Symposium Questionnaire Other-Survey Instrument	New
242445	Hunter harvest and satisfaction surveys on Green Bay and Lake Michigan, Wisconsin Other-Questionnaire	New
242410	Email Request For Feedback From Industry Partners (3DEP) Other-Questionnaire Email	New
242406	Kauai NWRC - Learning Experience Feedback Form Other-Feedback Form	New
242392	Loxahatchee NWR Urban Outreach Efforts Effectiveness Survey Other-Interview Questions	New
242304	In page survey for the "Find Your Path" results web page on doi.gov/careers Other-Survey Tool	New
242303	MyDOICareer Occupational Page Survey Other-Survey Tool	New
242264	Native Youth Community Adaptation and Leadership Congress (NYCALC) Portal Questionnaire Other-Questionnaire	New
242192	USGS Water Quality Data Delivery Other-Instrument	New
242161	Mission Effective Applications - User Survey Other-Question Map	New
242077	Kauai NWRC - Evaluation of Jr Ranger Pilot Program Workbook Other-Evaluation Form	New
241970	Usabilty Evaluation - Are you ready for an Eruption? Other-Usability Evaluation	New
241671	USGS Earthquake Notification Service (ENS) User Survey Other-Survey Instrument	New
241451	Draft Invasive Species Strategic Plan; Tribal Consultation, Listening Sessions and Request for Public Comments RSVPs Other-RSVP Survey	New
240932	NHD Training Feedback Tool Other-Online Survey	New
240261	Usability Testing of Reconstruction Era National Historic Network Application and Nomination Process Other-Web Application	New
239999	Upper Colorado Stakeholder Survey Other-Survey	New
239692	Website Usability Pretesting: Reports, Data, and Other Information Pertaining To Conflicts with Common Ravens Other-Web Form	New
239204	Santa Fe National Historic Trail - Pilot Program for Evaluation Guide Other-Survey Matrix	New
238610	Partner Assessments for the Urban Wildlife Conservation Program Other-Invitations and Reminders	New
238214	Reclamation Water Information System - Customer Survey Other-Survey Tool	New
237908	Usability Testing of the Online Eastern Population Sandhill Crane Survey Data Entry Portal Other-Survey Instrument	New
237877	Eastern South Dakota Culvert Mapper Survey Other-Survey Tool	New
237582	Multispecies Assessment Survey Other-Web Survey	New
237495	Data Preservation Post-Workshop Survey Other-Survey Tool	New
237307	National Tribal Broadband Summit Registration Other-Registration Survey	New
237185	National Wildlife Refuge System Communication Campaign Research Test Other-Research Test	New
236729	Understanding All-Terrain-Vehicle (ATV) user attitudes about salmon and stream crossings in upper Cook Inlet, Alaska Other- Survey Instrument	New
236728	FWS.gov Remote Usability Study Other-Usability Testing	New
236554	'Lowell Talks' Audience Survey Other-Customer Satisfaction Survey	New
236361	Feedback on Decommissioned USGS Water Mission Area Applications Other-Web Survey	New
236306	Advanced Fire Environment Learning Unit - Hot Topics Questionnaire for Fall Webinar Other-Web Survey	New
236236	How do you use the Wildland Fire Incident Management Field Guide, PMS 210? Other-Web Survey	New
236225	Evaluation of USFWS Partners Program in the SE: Understanding Landowner Participation and Ongoing Stewardships Behaviors Other-Interview Protocol	New
236075	Understanding All-Terrain-Vehicle (ATV) User Attitudes About Salmon and Stream Crossings in Upper Cook Inlet, Alaska Other-Survey Script	New
235923	Understanding All-Terrain-Vehicle (ATV) User Attitudes About Salmon and Stream Crossings in Upper Cook Inlet, Alaska Other-Interview Script	New
235609	Johnson-O'Malley Student Count Form Pre-Test Other-Pre-Test Form	New
235455	Evaluating a questionnaire for future delivery on public values for sagebrush in the West Other-Focus Group Questions & Script	New
235442	Survey soliciting feedback on the Hawaii Waterbird Survey Other-Survey Instrument	New
235083	Focus Group for Soliciting Feedback on WSFR Program Communications Other-State Agency Focuc Group Guide	New
234883	Depredation Order Report Form Other-Report Form	New
234565	Wildlife Trafficking Survey for U.S. Conservation Law Enforcers, 2018 Other-Trade Survey	New
234513	Pre-testing of Youth Quota Hunt Forms for Use by National Wildlife Refuge System Other-3-2354YD Quota Youth Deer Gun Hunt TEST VERSION	New
234487	Focus Group for Soliciting Feedback on USFWS Wildlife and Sportfish Restoration (WSFR) Programs Communications Other-WSFR Focus Group - All Stories	New
234440	Federal Raptor Propagation Seamless Band Request Form Other-Usability Testing	New
234087	3D Elevation Program (3DEP) Feedback for Future Development Other-Comment Card	New
234038	U.S. Ramsar Focus Group - Requirements Updates Other-Sample Email	New
233878	Forests, wildfire risk, and watershed health in the Rio Grande river basin Other-Focus Group Instrument	New
233877	In-person focus groups to solicit feedback on the Glen Canyon Dam Adaptive Management Program tribal survey project. Other-Focus Group Document	New
233840	Emperor Goose Spring Subsistence Harvest Survey Other-Survey Tool	New
233839	Community feedback (citizen science) initiative on Wireless Emergency Alert performance for ShakeAlert Other-Survey Tool	New
233826	Pilot Test of Web-based Application for the National Park Service U.S. Civil Rights Network USCRN) Other-Pilot Test of Web Based Form	New
233822	Evaluating public values for water quality in the Susquehanna River in Pennsylvania Other-Focus Group Questions & Script	New
233821	Feedback from USGS Web Chat Customers Other-Feedback from Web Chat Customers	New
233820	Feedback from USGS Email Customers Other-Customer Comment Form	New
233817	Feedback from USGS Phone Customers Other-Telephone Survey	New
233815	Pacific Northwest Aquatic Monitoring Program (PNAMP) Other-Monitoring Resources Elements Renewal	New
233813	National Science Foundation Ice Core Facility Tour Survey Form Other-Customer Satisfaction Survey	New
233812	Ecosystems Program Stakeholder Satisfaction Survey Other-Customer Satisfaction Survey	New
233810	North Central Climate Science Center Quality of Service Survey Other-Elect Customer Needs Survey	New
233809	Data Rescue and Preservation Workshop – Post Survey Other-Post Workshop Survey	New
233808	NHDPlus High Resolution QC Interest Form Other-Quality of Service Feedback	New
233807	Rescue and Preservation of Geoscientific Data and Materials Workshop Other-Survey Tool	New
233806	USGS Science Application for Risk Reduction Workshop Feedback Other-Feedback Form	New
233805	Non-Federal Landsat User Requirements Other-Survey Tool	New
233804	The Office of Surface Mining Reclamation and Control's Technical Training Program Course Effectiveness Evaluations Other-Participant Effectiveness Evaluation Form Renewal	New
233803	National Cache Medial Supply Kit Assessment Other-Web Form	New
233787	Fuel Geyser Incident Reporting Form Other-Web Form	New
233786	Web comment form for soliciting feedback on the Firefighter Type 2 (FFT2) Incident Position Description (IPD) Other-Comment Survey	New
233785	Web comment form for soliciting feedback on the Seat Manager (SEMG) Incident Position Description (IPD) Other-Comment Survey	New
233784	Web comment form for soliciting feedback on the Incident Commander Type 4 (ICT4) Incident Position Description (IPD) Other-Comment Survey	New
233774	Web comment form for soliciting feedback on the Single Engine Air Tanker Manager (SEMG) Incident Position Description (IPD) Other-Comment Survey	New
233773	Web Comment Form for Soliciting Feedback on Wildland Fire Position Information Other-Comment Form	New
233772	CADR - Agreement Seeking: Judicial Proceeding - Participant Other-Customer Satisfaction Survey	New
233771	CADR - Agreement Seeking: Judicial Proceeding - Lead Other-Customer Satisfaction Survey	New
233769	CADR - Facilitated Long-Term Group: Submission and Survey Other-Customer Satisfaction Survey	New
233768	CADR - Facilitated Meeting: Submission and Survey Other-Customer Satisfaction Survey	New
233767	CADR - Facilitated Dialogue: Submission and Survey Other-Customer Satisfaction Survey	New
233766	CADR - Agreement Seeking: Agency Decision - Participant Other-Customer Satisfaction Survey	New
233765	CADR - Training: Submission and Survey Other-Customer Satisfaction Survey	New
233764	CADR - Agreement Seeking: Agency Decision - Lead Other-Customer Satisfaction Survey	New
233760	CADR - Agreement Seeking: Administrative Proceeding - Participant Other-Customer Satisfaction Survey	New
233759	CADR - Agreement Seeking: Administrative Proceeding - Lead Other-Customer Satisfaction Survey	New
233757	National Park Service Office of Heritage Partnerships Program Customer Satisfaction Survey Other-Questionnaire	New
233756	National Park Service Internship Program Qualitative Assessment Other-Online Questionnaire	New
233755	Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using Focus Groups Other-Focus Group Script	New
233743	Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using On-site Surveys Other-Survey Tool	New
233742	Workshop Survey – "BSEE International Standards Workshop" Other-Workshop Feedback	New
233734	Feedback Survey for BOEM 2017-2022 Oil and Gas Leasing Program Draft Environmental Impact Statement Public Meetings Other-Survey Tool	New
233733	Bureau of Land Management – Wild Horse and Burro Program Other-Comment Card	New
233693	Artificial Night Lighting – request for published literature or proven best practices for minimizing environmental Impacts associated with artificial night lighting Other-Email Renewal	New
233666	Tribal Climate Resilience Program Other-Feedback Form	New
233665	Tribal Energy Development Capacity (TEDC) Grant Program Survey Other-Survey Notification Letter	New
233664	Dataset Survey Other-Dataset Survey	New
233663	Information Submission Website: Double-crested Cormorant and Free-Swimming Fish Data, Reports, and Comments Other-Website Form	New
233662	Assessment of Store Owners/Managers Interest and Awareness Regarding Aquatic Invasive Species in Alaska Other-Questionnaire	New
233659	Usability Testing of Online Migratory Bird Harvest Survey Trial Deployment Other-Survey Tool	New
233658	John Heinz National Wildlife Refuge – Transportation Feedback Form Other-Customer Satisfaction Survey	New
233657	Neal Smith National Wildlife Refuge - Visitor Center Feedback Form Other-Customer Satisfaction Survey	New
233656	Neal Smith National Wildlife Refuge - Public Program Feedback Form Other-Survey Tool	New
233655	Neal Smith National Wildlife Refuge - Environmental Education Feedback Form Other-Survey Tool	New
233654	Wildlife and Sport Fish Restoration Programs Communications Phone Interview Other-WSFR Communications Research Sampling Plan	New
233623	Eastern Massachusetts National Wildlife Refuge Complex Hunt Survey Other-Initial Email Correspondence	New
233622	Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs Other-Customer Experience Survey	New
233621	Falconry Database Usability Testing Other-Application form	New

ICR Details

OMB Control No: 1090-0011	ICR Reference No: 201805-1090-001
Status: Active	Previous ICR Reference No: 201503-1090-001
Agency/Subagency: DOI/ASPMB	Agency Tracking No:
Title: DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
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: 10/15/2018
	Date Received in OIRA: 08/30/2018
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	10/31/2018
Responses	125,000	0	52,500
Time Burden (Hours)	28,605	0	11,850
Cost Burden (Dollars)	0	0	0

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Abstract: In order to work continuously to ensure that our programs are effective and meet our customers' needs, the Department of the Interior seeks to obtain OMB approval of a generic clearance to collect qualitative feedback on our service delivery. By qualitative feedback we mean information that provides useful insights on perceptions and opinions, but are not statistical surveys that yield quantitative results that can be generalized to the population of study.

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Authorizing Statute(s): EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	83 FR 12590	03/22/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 44299	08/30/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 112

IC Title	Form No.	Form Name
Understanding All-Terrain-Vehicle (ATV) user attitudes about salmon and stream crossings in upper Cook Inlet, Alaska
North Central Climate Science Center Quality of Service Survey
U.S. Ramsar Focus Group - Requirements Updates
Feedback from USGS Phone Customers
Evaluating public values for water quality in the Susquehanna River in Pennsylvania
Web comment form for soliciting feedback on the Firefighter Type 2 (FFT2) Incident Position Description (IPD)
Neal Smith National Wildlife Refuge - Public Program Feedback Form
Data Rescue and Preservation Workshop – Post Survey
Evaluating a questionnaire for future delivery on public values for sagebrush in the West
Feedback on Decommissioned USGS Water Mission Area Applications
Hunter harvest and satisfaction surveys on Green Bay and Lake Michigan, Wisconsin
Eastern South Dakota Culvert Mapper Survey
USFWS Pacific Northwest Bumble Bee Symposium Questionnaire
Kauai NWRC - Learning Experience Feedback Form
CADR - Facilitated Long-Term Group: Submission and Survey
Artificial Night Lighting – request for published literature or proven best practices for minimizing environmental Impacts associated with artificial night lighting
In page survey for the "Find Your Path" results web page on doi.gov/careers
Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs
Eastern Massachusetts National Wildlife Refuge Complex Hunt Survey
Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using On-site Surveys
CADR - Agreement Seeking: Judicial Proceeding - Participant
Web Comment Form for Soliciting Feedback on Wildland Fire Position Information
National Cache Medial Supply Kit Assessment
Feedback Survey for BOEM 2017-2022 Oil and Gas Leasing Program Draft Environmental Impact Statement Public Meetings
3D Elevation Program (3DEP) Feedback for Future Development
Mission Effective Applications - User Survey
Survey soliciting feedback on the Hawaii Waterbird Survey
National Tribal Broadband Summit Registration
Web-based Cognitive Interviews to Pre-test the 2022 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation (FHWAR)
NHD Training Feedback Tool
Email Request For Feedback From Industry Partners (3DEP)
CADR - Agreement Seeking: Agency Decision - Participant
Tribal Energy Development Capacity (TEDC) Grant Program Survey
Tribal Climate Resilience Program
Yosemite Wilderness Survey An App-based Data Collection Approach (Pilot)
Fuel Geyser Incident Reporting Form
NHDPlus High Resolution QC Interest Form
Workshop Survey – "BSEE International Standards Workshop"
Web comment form for soliciting feedback on the Single Engine Air Tanker Manager (SEMG) Incident Position Description (IPD)
Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using Focus Groups
Data Preservation Post-Workshop Survey
Multispecies Assessment Survey
Santa Fe National Historic Trail - Pilot Program for Evaluation Guide
Website Usability Pretesting: Reports, Data, and Other Information Pertaining To Conflicts with Common Ravens
Emperor Goose Spring Subsistence Harvest Survey
Usabilty Evaluation - Are you ready for an Eruption?
Upper Colorado Stakeholder Survey
Neal Smith National Wildlife Refuge - Environmental Education Feedback Form
Neal Smith National Wildlife Refuge - Visitor Center Feedback Form
CADR - Facilitated Meeting: Submission and Survey
Wildlife and Sport Fish Restoration Programs Communications Phone Interview
Feedback from USGS Email Customers
Feedback from USGS Web Chat Customers
Bureau of Land Management – Wild Horse and Burro Program
In-person focus groups to solicit feedback on the Glen Canyon Dam Adaptive Management Program tribal survey project.
CADR - Facilitated Dialogue: Submission and Survey
National Park Service Internship Program Qualitative Assessment
Evaluation of USFWS Partners Program in the SE: Understanding Landowner Participation and Ongoing Stewardships Behaviors
Johnson-O'Malley Student Count Form Pre-Test
Understanding All-Terrain-Vehicle (ATV) User Attitudes About Salmon and Stream Crossings in Upper Cook Inlet, Alaska
How do you use the Wildland Fire Incident Management Field Guide, PMS 210?
Usability Testing of the Online Eastern Population Sandhill Crane Survey Data Entry Portal
National Wildlife Refuge System Communication Campaign Research Test
MyDOICareer Occupational Page Survey
USGS Water Quality Data Delivery
Loxahatchee NWR Urban Outreach Efforts Effectiveness Survey
CADR - Training: Submission and Survey
John Heinz National Wildlife Refuge – Transportation Feedback Form
Federal Raptor Propagation Seamless Band Request Form
Community feedback (citizen science) initiative on Wireless Emergency Alert performance for ShakeAlert
Non-Federal Landsat User Requirements
Forests, wildfire risk, and watershed health in the Rio Grande river basin
CADR - Agreement Seeking: Agency Decision - Lead
Depredation Order Report Form
Understanding All-Terrain-Vehicle (ATV) User Attitudes About Salmon and Stream Crossings in Upper Cook Inlet, Alaska
EDMAP Alumni Questionnaire
CADR - Agreement Seeking: Judicial Proceeding - Lead
Focus Group for Soliciting Feedback on WSFR Program Communications
FWS.gov Remote Usability Study
USGS Science Application for Risk Reduction Workshop Feedback
Rescue and Preservation of Geoscientific Data and Materials Workshop
Falconry Database Usability Testing
Dataset Survey
Usability Testing of Online Migratory Bird Harvest Survey Trial Deployment
Pre-testing of Youth Quota Hunt Forms for Use by National Wildlife Refuge System
CADR - Agreement Seeking: Administrative Proceeding - Lead
Focus Group Interviews and User Testing to Assess Hunter Attitudes toward the HIP Questions and Migratory Bird Harvest Survey
Pacific Northwest Aquatic Monitoring Program (PNAMP)
Web comment form for soliciting feedback on the Incident Commander Type 4 (ICT4) Incident Position Description (IPD)
'Lowell Talks' Audience Survey
Partner Assessments for the Urban Wildlife Conservation Program
Usability Testing of Reconstruction Era National Historic Network Application and Nomination Process
CADR - Agreement Seeking: Administrative Proceeding - Participant
Information Submission Website: Double-crested Cormorant and Free-Swimming Fish Data, Reports, and Comments
Assessment of Store Owners/Managers Interest and Awareness Regarding Aquatic Invasive Species in Alaska
Reclamation Water Information System - Customer Survey
Draft Invasive Species Strategic Plan; Tribal Consultation, Listening Sessions and Request for Public Comments RSVPs
Wildlife Trafficking Survey for U.S. Conservation Law Enforcers, 2018
National Park Service Office of Heritage Partnerships Program Customer Satisfaction Survey
National Science Foundation Ice Core Facility Tour Survey Form
WaterAlert SMS User Satisfaction Survey
USGS Earthquake Notification Service (ENS) User Survey
Ecosystems Program Stakeholder Satisfaction Survey
Web comment form for soliciting feedback on the Seat Manager (SEMG) Incident Position Description (IPD)
Pilot Test of Web-based Application for the National Park Service U.S. Civil Rights Network USCRN)
Focus Group for Soliciting Feedback on USFWS Wildlife and Sportfish Restoration (WSFR) Programs Communications
The Office of Surface Mining Reclamation and Control's Technical Training Program Course Effectiveness Evaluations
Advanced Fire Environment Learning Unit - Hot Topics Questionnaire for Fall Webinar
National Water Dashboard User Survey
Native Youth Community Adaptation and Leadership Congress (NYCALC) Portal Questionnaire
"HAYWIRED: AN ECONOMIC DISASTER?" EVALUATION
Kauai NWRC - Evaluation of Jr Ranger Pilot Program Workbook

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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	125,000	52,500	0	0	72,500	0
Annual Time Burden (Hours)	28,605	11,850	0	0	16,755	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: During 2015 - 2018 the actual number of responses (as of early July) was 93,973 and the burden hours were 10,537. This submission will bring the number of responses and burden hours into alignment with actual usage compared to the numbers contained in the previous renewal. We also included an additional increase to account for the increased usage during the last cycle as the bureaus and offices become more aware of the availability of the Fast Track process. This new request of 125,000 responses and 28,605 will help Interior to avoid bumping up against the ceiling late into the next renewal cycle.

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Annual Cost to Federal Government: $197,666

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 08/30/2018

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