Joint Standards for Assessing the Diversity Policies and Practices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 15004 Annual Voluntary Credit Union Diversity Self-Assessment	Form and Instruction	Modified	Available
3133-0193_FINAL_Supporting Statement_050819.docx	Supporting Statement A	Uploaded 2019-06-04	Available
Final_Interagency_Policy_Statement_80FR33016_10JUN2015.pdf	Supplementary Document	Uploaded 2018-05-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219173	Annual Voluntary Credit Union Diversity Self-Assessment	Form and Instruction	Modified

ICR Details

OMB Control No: 3133-0193	ICR Reference No: 201906-3133-002
Status: Active	Previous ICR Reference No: 201805-3133-002
Agency/Subagency: NCUA	Agency Tracking No: OMWI
Title: Joint Standards for Assessing the Diversity Policies and Practices
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/12/2019
	Date Received in OIRA: 06/04/2019
Terms of Clearance: Clearance is granted for 2 years, during which period NCUA will assess whether its adoption the common form used by other agencies to comply with Section 342 of the Dodd-Frank Act would further the purposes of that provision. In its ICR renewal request supporting statement, NCUA will address why it has decided either to use or not to use that common form. Because of the small number of responses and convenience sample of respondents, NCUA agrees to take care not to generalize findings when presenting results of this collection and to provide an appropriate discussion of limitations in any reports or publications.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	09/30/2019
Responses	325	0	325
Time Burden (Hours)	2,600	0	2,600
Cost Burden (Dollars)	0	0	0

---

Abstract: Section 342 of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (Act) instructed each agency Office of Minority and Women Inclusion (OMWI) director to develop standards for assessing the diversity policies and practices of entities regulated by each agency. The Agencies worked together to develop joint standards and publish a policy statement in the Federal Register. The Policy Statement contains a collection of information. The NCUA 15004, "Annual Voluntary Credit Union Diversity Self-Assessment," can be used by federally insured credit unions to perform their assessment and to submit information to NCUA.

---

Authorizing Statute(s): PL: Pub.L. 111 - 203 342 Name of Law: Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 8766	03/11/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25831	06/04/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Annual Voluntary Credit Union Diversity Self-Assessment	15004	Annual Voluntary Credit Unions Diversity Self-Assessment

---

ICR Summary of Burden

table that charts list 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	325	325	0	0	0	0
Annual Time Burden (Hours)	2,600	2,600	0	0	0	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:

---

Annual Cost to Federal Government: $20,800

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.     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]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 06/04/2019

---