Information Collection Request

License for the Use of Personally Identifiable Information Protected Under the E-Government Act of 2002, Title V and the Privacy Act of 1974

ICR 201909-2528-001 · OMB 2528-0297 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30-Day Notice License for the Use of Personally Identifiable Information Protected Under the E-Government Act of 2002, Title V and the Privacy Act of 1974.pdf Supplementary Document Uploaded 2020-01-29 Available
final 1-23-2020- Supporting Statement.docx Supporting Statement A Uploaded 2020-01-23 Available
60-Day Notice License for the Use of PII under the Privacy Act.pdf Supplementary Document Uploaded 2020-01-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
223754 Recordkeeping Other-Application Modified
223752 Final Reports Other-Application Modified
223751 Annual Reports Other-Application Modified
206961 Applicants Other-PDR License Agreement Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2023 36 Months From Approved 08/31/2020
106 0 94
106 0 70
4,160 0 3,380





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Annual Reports
Recordkeeping
Applicants
Final Reports

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 106 94 0 12 0 0
Annual Time Burden (Hours) 106 70 0 36 0 0
Annual Cost Burden (Dollars) 4,160 3,380 0 780 0 0


Reginfo record details
  No