APHIS Student Outreach Program

Forms and Documents

Document Name	Status
Form APHIS FORM 119 AgDiscovery Application - Individuals or Households Form and Instruction	Modified
0362 79 2019124.xls Supplementary Document	2019-12-10
0362 71 20191204.xls Supplementary Document	2019-12-10
0362 SS 20191204.doc Supporting Statement A	2019-12-10

IC Document Collections

IC ID	Document Title	Status
235944	State, Local, and Tribal Government Other-Placeholder	New
235943	Private Sector Other-Placeholder	New
189500	AgDiscovery Application - Individuals or Households Form and Instruction	Modified

ICR Details

OMB Control No: 0579-0362	ICR Reference No: 201812-0579-001
Status: Historical Inactive	Previous ICR Reference No: 201303-0579-004
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: APHIS Student Outreach Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 04/02/2020
	Date Received in OIRA: 06/18/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this collection is to help students age 12-17 learn about careers in Animal Science, Veterinary Medicine, and Plant Pathology. This program will allow participants to live in a college campus and learn about Agricultural science from university professors, practicing veterinarians and professionals working for the U.S. Government.

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Authorizing Statute(s): US Code: 42 USC 2000d et.seq. Name of Law: Civil Rights Act of 1964
  

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:
	84 FR 4763	02/19/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25232	05/31/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
AgDiscovery Application - Individuals or Households	APHIS FORM 119	AgDiscovery Application
Private Sector
State, Local, and Tribal Government

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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: This is a reinstatement of a previously approved information collection resulting in 6,330 total burden hours.

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Annual Cost to Federal Government: $90,951

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: 06/18/2019

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