Response to the Marine Corps NAF Debt Collection Notice NAVMC Form 11787

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NAVMC 11787 Response to the Marince Corps NAF Debt Collection Notice	Form and Instruction	New	Available
_SECNAV_5213_1_4999 Computron signed.pdf	Supplementary Document	Uploaded 2019-09-30	Available
0703-NAFD_SS-A_9.30.19.docx	Supporting Statement A	Uploaded 2019-09-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237928	NAVMC 11787, Response to the Marine Corps NAF Debt Collection Notice	Form and Instruction	New	Response to the Marince Corps NAF Debt Collection Notice

ICR Details

OMB Control No: 0703-0075	ICR Reference No: 201909-0703-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/NAVY	Agency Tracking No: 0703-NAFD
Title: Response to the Marine Corps NAF Debt Collection Notice NAVMC Form 11787
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved
Responses	2,080	0	0
Time Burden (Hours)	173	0	0
Cost Burden (Dollars)	3,120	0	0

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Abstract: The NAVMC Form 11787, “Response to the Marine Corps NAF Debt Collection Notice,” is necessary for Marine Corps Community Services (MCCS) to maintain a tracking and accounting system for authorized vendors and patrons indebted to MCCS businesses and services as well as applicable supported Marine Corps Nonappropriated Fund Instrumentalities (NAFIs) for the purpose of repayment management or to transfer the debt collection to the Treasury Offset Program.

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Authorizing Statute(s): US Code: 10 USC 5013 Name of Law: Secretary of the Navy
   US Code: 10 USC 5041 Name of Law: Headquarters, Marine Corps
   PL: Pub.L. 89 - 508 2 Name of Law: Federal Claims Collection Act of 1966
   PL: Pub.L. 97 - 365 3 Name of Law: Debt Collection Act of 1982
   PL: Pub.L. 104 - 134 31001 Name of Law: Debt Collection Improvement Act of 1996
  

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 28794	06/20/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 51528	09/30/2019
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
NAVMC 11787, Response to the Marine Corps NAF Debt Collection Notice	NAVMC 11787	Response to the Marince Corps NAF Debt Collection Notice

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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	2,080	0	0	2,080	0	0
Annual Time Burden (Hours)	173	0	0	173	0	0
Annual Cost Burden (Dollars)	3,120	0	0	3,120	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 a new collection with a new associated burden.

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Annual Cost to Federal Government: $12,392

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: 09/30/2019

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