This is a new IC, so the public
burden is being added as required. An estimated 50 respondents will
respond to this collection annually, and it will take each
respondent approximately 2 hours to complete their responses.
Therefore, the estimated annual public burden associated with this
collection is 100 hours.
Renee Reid 2026489260
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
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
(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
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.