OMB 83i

PAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your
agency's Paperwork Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting
Statement, and any additional documentation to: Office of Information and Regulatory Affairs, Office of Management and Budget,
Docket Library, Room 10102, 725 17th Street NW, Washington, DC 20503.
2. OMB CONTROL NUMBER

1. AGENCY/SUBAGENCY ORIGINATING REQUEST

Department of Commerce/Census Bureau/International Trade
Management Division

a.

0143

b. NONE

4. TYPE OF REVIEW REQUESTED (X one)

3. TYPE OF INFORMATION COLLECTION (X one)

x
a. NEW COLLECTION

x

0607

a. REGULAR SUBMISSION
b. EMERGENCY - APPROVAL REQUESTED BY:

b. REVISION OF A CURRENTLY APPROVED COLLECTION

c. DELEGATED

c. EXTENSION OF A CURRENTLY APPROVED COLLECTION
d. REINSTATEMENT, WITHOUT CHANGE, OF A PREVIOUSLY
APPROVED COLLECTION FOR WHICH APPROVAL HAS EXPIRED

5. SMALL ENTITIES
Will this information collection have a significant economic
impact on a substantial number of small entities?

e. REINSTATEMENT, WITH CHANGE, OF A PREVIOUSLY
APPROVED COLLECTION FOR WHICH APPROVAL HAS EXPIRED

YES
NO
x
6. REQUESTED EXPIRATION DATE

x

f. EXISTING COLLECTION IN USE WITHOUT AN OMB CONTROL
NUMBER

a. THREE YEARS FROM APPROVAL DATE
b. OTHER:

7. TITLE

Quarterly Survey of Public Pensions
8. AGENCY FORM NUMBER(S) (if applicable)
Forms F-10
9. KEYWORDS
Government Statistics, Public Pensions

10. ABSTRACT
The survey provides a rich source of data on public retirement systems administered by state and local governments in the United States and is used to collect data on
the assets, revenues and expenditures of the 100 largest systems, as measured by the system assets. This survey provides the quarterly change in composition of the
securities holdings of the defined benefit public employee retirement systems component of the economy. The Federal Reserve Board uses these data to track the
public sector portion of the Flow of Funds Accounts. Additionally, the data are used by a variety of government officials, academics, students and non-profit
organizations to analyze trends in public employee retirement and the impact of retirement obligations on the fiscal well-being of state and local governments.
11. AFFECTED PUBLIC (Mark primary with "P" and all others that apply with "X")
a. INDIVIDUALS OR HOUSEHOLDS

d. FARMS

b. BUSINESS OR OTHER FOR-PROFIT

e. FEDERAL GOVERNMENT

12. OBLIGATION TO RESPOND (Mark primary with "P" and all

X

a. VOLUNTARY

others that apply with "X")

b. REQUIRED TO OBTAIN OR RETAIN BENEFITS

c. MANDATORY
P f. STATE, LOCAL OR TRIBAL GOVERNMENT
13. ANNUAL REPORTING AND RECORDKEEPING HOUR BURDEN
14. ANNUALIZED COST TO RESPONDENTS (In thousands of dollars)
c. NOT-FOR-PROFIT INSTITUTIONS

a. NUMBER OF RESPONDENTS
b. TOTAL ANNUAL RESPONSES
(1) Percentage of these responses collected electronically
c. TOTAL ANNUAL HOURS REQUESTED
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.

EXPLANATION OF
DIFFERENCE:

100
400
100
300
300
0

a. TOTAL CAPITAL/STARTUP COSTS
c. TOTAL ANNUALIZED COST REQUESTED
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.

(2) Adustment (+, -)

(2) Adustment (+, -)

0

15. PURPOSE OF INFORMATION COLLECTION (Mark primary with

16. FREQUENCY OF RECORDKEEPING OR REPORTING (X all that apply)

"P" and all others that apply with "X")

P

a. RECORDKEEPING

X

b. PROGRAM EVALUATION
c. GENERAL PURPOSE STATISTICS
d. AUDIT

17. STATISTICAL METHODS
Does this information collection employ
statistical methods?
X

YES

OMB FORM 83-I, 10/95

NO

EXPLANATION OF DIFFERENCE:
(1) Program change (+, -)

(1) Program change (+, -)

a. APPLICATION FOR BENEFITS

X

0.00

b. TOTAL ANNUAL COSTS (O&M)

e. PROGRAM PLANNING
OR MANAGEMENT
f. RESEARCH
g. REGULATORY OR
COMPLIANCE

X

b. THIRD PARTY DISCLOSURE

c. REPORTING:

x

(1) On Occasion

(2) Weekly

(3) Monthly

(4) Quarterly

(5) Semi-Annually

(6) Annually

(7) Biennially

(8) Other (Describe)

18. AGENCY CONTACT (Person who can best answer questions regarding the content of this
submission)
a. NAME

Raemeka Mayo

b. TELEPHONE NUMBER (Include area code)

301 - 763-4688

OMB CONTROL NUMBER

0607

0143

TITLE

Quarterly Survey of Public Pensions

19. CERTIFICATION FOR PAPERWORK REDUCTION ACT SUBMISSIONS
a. PROGRAM OFFICIAL CERTIFICATION (Internal DOC Use Only)
Type name

Date

Enrique Lamas, Performing the Non-Exclusive Duties and Functions of the Deputy Director, U.S. Census
Bureau

On behalf of this Federal agency, I certify that the collection of information encompassed by this request
complies with 5 CFR 1320.9.
NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8(b)(3), appear at the end of the
instructions. The certification is to be made with reference to those regulatory provisions as set forth in the
instructions.
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 (see note in Item 19 of the instructions);
(i) If applicable, it uses effective and efficient statistical survey methodology; and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item below and explain the
reason in Item 18 of the Supporting Statement.

b. SENIOR OFFICIAL OR DESIGNEE CERTIFICATION
Type name

Jennifer Jessup, Departmental Paperwork Clearance Officer
OMB FORM 83-I (BACK), 10/95

Date