Navy Family Ombudsman Program

Forms and Documents

Document Name	Status
0703-AADY_SSA_Final.DOCX Supporting Statement A	2019-02-27
SORN 0703-AADY.pdf Supplementary Document	2019-02-07
PIA_0703-AADY.pdf Supplementary Document	2019-02-07

IC Document Collections

IC ID	Document Title	Status
234867	Ombudsman Qualities and Attributes (Interview Questions) Other-Interview Format	New

ICR Details

OMB Control No: 0703-0070	ICR Reference No: 201902-0703-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOD/NAVY	Agency Tracking No: 0703-AADY
Title: Navy Family Ombudsman Program
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/01/2019
	Date Received in OIRA: 02/27/2019
Terms of Clearance: This collection must be reported as part of DOD's Information Collection Budget submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved
Responses	4,500	0	0
Time Burden (Hours)	2,250	0	0
Cost Burden (Dollars)	55,575	0	0

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Abstract: The need for the Navy Ombudsman Program information collection is to solicit and select a spouse, for the volunteer Ombudsman position in Navy components. Ombudsmen act as a liaison between the Navy command/activity and command's families. An ombudsman is ordinarily the spouse of an active duty or Selected Reserve member of the command, enlisted or officer. This requirement can be waived if, after a diligent search, no appropriate spouse volunteer is available.

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Authorizing Statute(s): US Code: 10 USC 1588 Name of Law: null
  

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 49372	10/01/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 5063	02/20/2019
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
Ombudsman Qualities and Attributes (Interview Questions)

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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	4,500	0	0	4,500	0	0
Annual Time Burden (Hours)	2,250	0	0	2,250	0	0
Annual Cost Burden (Dollars)	55,575	0	0	55,575	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: This is an existed collection without an OMB Control Number.

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Annual Cost to Federal Government: $86,080

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.     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: 02/27/2019

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