OMB 83-i

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.
1. Agency/Sub agency originating request
2. OMB control number
b. [ x ] None
DOC/BIS/OTE

a.

3. Type of information collection (check one)
a. [x] New Collection
b. [ ] Revision of a currently approved collection
c. [ ] Extension of a currently approved collection
d. [ ] Reinstatement, without change, of a previously approved
collection for which approval has expired
e. [ ] Reinstatement, with change, of a previously approved
collection for which approval has expired

0694 - 0119

4. Type of review requested (check one)
a. [x] Regular submission
b. [ ] Emergency - Approval requested by
c. [ ] Delegated

/

/

5. Small entities
Will this information collection have a significant economic impact on a
substantial number of small entities? [ ] Yes
[x ] No
6. Requested expiration date
a. [X ] One year from approval date b. [ ] Other Specify:

f. [ ] Existing collection in use without an OMB control number
For b-f, note Item A2 of Supporting Statement instructions
7. Title
Defense Industrial Base Assessment: U.S. Air Force Supply Chain
8. Agency form number(s) (if applicable)
None
9. Keywords
Industrial analysis, defense industrial base, sustainment, additive manufacturing, test and evaluation, research and development, diminishing
manufacturing sources and material shortages, supplier and program interdependencies, competitive challenges, sole source, supply disruptions, foreign
sourcing and dependencies, best practices, supply chain network, components and services, workforce, cybersecurity.
10. Abstract

The U.S. Department of Commerce, Bureau of Industry and Security (BIS), Office of Technology
Evaluation, in coordination with the U.S. Department of Defense (DOD), U.S. Air Force
Sustainment Center (AFSC) is conducting a survey and assessment of organizations affiliated
with the sustainment of U.S. Air Force systems supported by the AFSC. The resulting data
will provide a baseline understanding of the structure and interdependencies of
organizations that participate in Air Force sustainment, maintenance, repair, and overhaul
programs and their associated supply chains. This effort will also enhance the AFSC's
ability to evaluate and address supply chain deficiencies, foreign sourcing and
dependencies, and other challenges facing the U.S. defense industrial base.
11. Affected public (Mark primary with "P" and all others that apply with "x")
a.
Individuals or households
b. P Business or other for-profit
c.
Not-for-profit institutions

d.
e.
f.

Farms
Federal Government
State, Local or Tribal Government

12. Obligation to respond (check one)
a. [ ] Voluntary
b. [ ] Required to obtain or retain benefits
c. [x ] Mandatory

13. Annual recordkeeping and reporting burden
a. Number of respondents
10,000
b. Total annual responses
2,000 (Y1); 4,000 (Y2), 4,000 (Y3)
1. Percentage of these responses
collected electronically
99%
c. Total annual hours requested
140,000
d. Current OMB inventory
308,000
e. Difference
168,000
f. Explanation of difference
1. Program change
2. Adjustment

14. Annual reporting and recordkeeping cost burden (in thousands of
dollars)
a. Total annualized capital/startup costs 0
b. Total annual costs (O&M)
0
c. Total annualized cost requested
0
d. Current OMB inventory
0
e. Difference
0
f. Explanation of difference
1. Program change
0
2. Adjustment
0

15. Purpose of information collection (Mark primary with "P" and all
others that apply with "X")
a. Application for benefits
e. _ Program planning or management
b. _ Program evaluation
f. P Research
c. General purpose statistics g. x Regulatory or compliance
d. Audit

16. Frequency of recordkeeping or reporting (check all that apply)
a. [ ] Recordkeeping
b. [ ] Third party disclosure
c. [x ] Reporting
1. [ ] On occasion 2. [ ] Weekly
3. [ ] Monthly
4. [ ] Quarterly
5. [ ] Semi-annually 6. [ ] Annually
7. [ ] Biennially
8. [x ] Other (describe) One-time

17. Statistical methods
Does this information collection employ statistical methods
[ ] Yes
[ x] No

18. Agency Contact (person who can best answer questions regarding
the content of this submission)
Name:
XXXXX, ICB Liaison for BIS
Phone:

OMB 83-I

(202) 482-XXXX
10/95

19. Certification for Paperwork Reduction Act Submissions
On behalf of this Federal Agency, I certify that the collection if 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 used plain, coherent, and unambiguous terminology that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention period for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8(b)(3):
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, 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 instructions);
(i) 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 the provisions, identify the item below and explain the reason in
Item 18 of the Supporting Statement.

Signature of Senior Official or designee

Date

OMB 83-I
10/95

Agency Certification (signature of Assistant Administrator or head of MB staff for L.O.S or of the Director of a Program
Office)
Signature

Date

Fernandez Boards, Budget Director for BIS
Signature of BIS Clearance Officer
Signature

Sheleen Dumas, Departmental Clearance Officer

Date

or Staff