Freedom of Information Act (FOIA) Request for Assistance and Consent

Forms and Documents

Document Name	Status
Form NA Form 10003 Freedom of Information Act (FOIA) Request for Assistance and Consent Form and Instruction	Modified
SupportingStatement for 3095-0068 OGIS mediation.Final.Nov.2019.pdf Supporting Statement A	2019-11-06

IC Document Collections

IC ID	Document Title	Status
194856	Freedom of Information Act (FOIA) Request for Assistance and Consent Form and Instruction	Modified

ICR Details

OMB Control No: 3095-0068	ICR Reference No: 201911-3095-002
Status: Active	Previous ICR Reference No: 201609-3095-001
Agency/Subagency: NARA	Agency Tracking No:
Title: Freedom of Information Act (FOIA) Request for Assistance and Consent
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/26/2019
	Date Received in OIRA: 11/06/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	12/31/2019
Responses	3,646	0	400
Time Burden (Hours)	608	0	13
Cost Burden (Dollars)	0	0	0

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Abstract: In order to fulfill its government-wide statutory mission, the Office of Government Information Services (OGIS) provides varying types of assistance to its customers, which requires communicating with government departments and agencies regarding the customers’ FOIA/Privacy Act request/appeal. Handling requests for OGIS Assistance must conform to the legal requirements of the Freedom of Information Act (FOIA) and the Privacy Act of 1974. Authority for the requirements set forth in this form is also contained in 5 U.S.C. 552a(b). OGIS will use the information submitted in the form to provide the requested assistance. Without the information submitted in this form, OGIS would be unable to fulfill its mission.

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Authorizing Statute(s): None

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 44641	08/26/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 59421	11/04/2019
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
Freedom of Information Act (FOIA) Request for Assistance and Consent	NA Form 10003	Consent to Make Inquiries and Release of Information and Records

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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	3,646	400	0	3,246	0	0
Annual Time Burden (Hours)	608	13	0	595	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The significant increase in burden hours is due to the increase in program customers, changing the estimated number of annual respondents from 400 to 3,646. The significant increase in the number of cases is largely attributable to the passage of the Freedom of Information Act (FOIA) Improvement Act of 2016, (signed on June 30, 2016), which added statutory language introducing the Office of Government Information Services (OGIS) as a resource at every stage of the FOIA administrative process. As a result of that change, the estimated average amount of time for respondents to provide the information also increased (from two minutes to ten per respondent) because of the need to explain which stage of the FOIA administrative process they are at, gather documentation related to multiple stages, and the broader range of issues respondents have been raising.

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Annual Cost to Federal Government: $0

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: 11/06/2019

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