Long Term Contracting

Forms and Documents

Document Name	Status
Form NRCS-LTP-153 Spani Long Term Contracting (Individuals) Form	Modified
Form AD-1153 Hmong Long Term Contracting (State and Local Government) Form	Unchanged
Form AD-1153 Hmong Long Term Contracting (Private Sector) Form	Modified
Justification for the form AD-1155A.docx Justification for No Material/Nonsubstantive Change	2020-09-14
2018 OMB Supporting Statement.docx Supporting Statement A	2018-04-06
0578-0013 collection package.xlsx Supplementary Document	2018-04-03
2018 Federal Register Notice.pdf Supplementary Document	2018-04-03

IC Document Collections

IC ID	Document Title	Status
43534	Long Term Contracting (Individuals) Form	Modified
184934	Long Term Contracting (State and Local Government) Form	Unchanged
184933	Long Term Contracting (Private Sector) Form	Modified

ICR Details

OMB Control No: 0578-0013	ICR Reference No: 202009-0578-001
Status: Active	Previous ICR Reference No: 201804-0578-001
Agency/Subagency: USDA/NRCS	Agency Tracking No:
Title: Long Term Contracting
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/02/2020
	Date Received in OIRA: 09/14/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	06/30/2021	06/30/2021
Responses	5,560	0	5,560
Time Burden (Hours)	3,085	0	3,085
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the Long-Term Contracting information collection is to provide for those programs to extend financial and technical assistance through easements and long-term contracts to landowners and others.

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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:
	83 FR 5240	02/05/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 15784	04/12/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Long Term Contracting (State and Local Government)	NRCS-CPA-260 Spanish, NRCS-CPA-260 Vietnamese, NRCS-LTP-20 Hmong, NRCS-LTP-20 Spanish, NRCS-LTP-20 Vietnamese, NRCS-LTP-70 Spanish, NRCS-LTP-70 Vietnamese, NRCS-LTP-80 Hmong, NRCS-LTP-80 Spanish, NRCS-LTP-80 Vietnamese, NRCS-LTP-152 Hmong, NRCS-LTP-152 Spanish, NRCS-LTP-152 Vietnamese, NRCS-LTP-153 Hmong, NRCS-LTP-153 Spanish, NRCS-LTP-153 Vietnamese, AD-1161 Vietnamese, NRCS-LTP-70 Hmong, NRCS-CPA-1156 Vietnamese, AD-1155A, AD-1155, NRCS-LTP-153, AD-1154, AD-1158, NRCS-CPA-260, AD-1160, NRCS-LTP-13, NRCS-LTP-151, NRCS-LTP-152, AD-1157, AD-1157A, AD-1153, AD-1161, NRCS-LTP-20, AD-1159, AD-1156, AD-1153 Hmong, AD-1153 Spanish, AD-1153 Vietnamese, AD-1154 Hmong, AD-1154 Spanish, AD-1154 Vietnamese, AD-1155 Hmong, AD-1155 Spanish, AD-1155 Vietnamese, AD-1156 Hmong, AD-1156 Spanish, AD-1156 Vietnamese, AD-1158 Hmong, AD-1158 Spanish, AD-1158 Vietnamese, AD-1160 Hmong, AD-1160 Spanish, AD-1160 Vietnamese, AD-1161 Hmong, AD-1161 Spanish, NRCS-CPA-260 Hmong	DAIM NTAWV THOV TXHAWM RAU COV KEV PAB SIJHAWM NTEV LOS NTAWM TXOJ TXOJ HAUJLWM ,   SOLICITUD DE CONTRATACIÓN A LARGO PLAZO ASISTENCIA EL PROGRAMA ,   ĐƠN THAM GIA NHẬN HỖ TRỢ THEO HỢP ĐỐNG DÀI HẠN THÔNG QUA CHƯƠNG TRÌNH ,   KEV POM ZOO NTEV NTEV ,   ACUERDO A LARGO PLAZO ,   HỢP ĐỒNG DÀI HẠN ,   Txoj kev npaj kev txuag CIJ QHIB ,   PLAN DE CONSERVACIÓN 2. Página de PROGRAMACIÓN DE OPERACIONES ,   KẾ HOẠCH BẢO TỒN LỊCH TRÌNH HOẠT ĐỘNG ,   Hom phiaj hloov Los siv ntawv hloov ,   REVISIÓN DEL PLAN O PROGRAMA DE OPERACIONES O MODIFICACIÓN DE UN CONTRATO ,   SỬA ĐỔI KẾ HOẠCH HAY LỊCH TRÌNH HOẠT ĐỘNG HAY ĐIỂU CHỈNH HỢP ĐỒNG ,   DAIM NTAWV POM ZOO THIAB KEV TXWV YWV YAM MUAJ NQI NTAWM TUS NEEG TSHUAV NUJ NQI ,   ACUERDO DE SUBORDINACIÓN Y DE RENUNCIA DE DERECHO LIMITADA ,   HỢP ĐỒNG CÔNG TRÌNH PHỤ VÀ VIỆC MIỄN TRỪ TRÁCH NHIỆM GÁN NỢ CÓ GIỚI HẠN ,   LUB LAJ THAWJ TSO CAI SIV ,   AUTORIZACIÓN DE USO COMPATIBLE ,   ỦY QUYỀN SỬ DỤNG THÍCH HỢP ,   DAIM NTAWV THOV COV NYIAJ ,   SOLICITUD DE PAGO ,   ĐƠN XIN THANH TOÁN ,   Txoj kev Pab Txuag Cov hav zoov Liaj Teb Kom Zoo Txog Kev Zam Siv Av ,   Servidumbre de conservación del programa de reserva de bosques saludables ,   Quyền Địa Dịch Bảo Tồn Trong Chương Trình Khu Bảo Tồn Rừng Bền Vững ,   Daim Ntawv Lav Tso Cai Siv Av Rau Kev Tsim Pas Dej CeevLos Tiv Thaiv Thaj Av Uas Muaj Dej Nyab ,   Escritura traslativa de dominio de servidumbre del Programa de protección de cuencas por emergencias en llanuras inundables ,   Khế Ước Bảo Đảm về Quyền Sử Dụng Đất đối với Khu Vực Có Nguy Cơ Lụt Lội trong Chương Trình Bảo Vệ các Lưu Vực Nước Khẩn Cấp ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   DAIM NTAWV POM ZOO HLOOV TSWV ,   ACUERDO DE TRANSFERENCIA ,   HỢP ĐỒNG CHUYỂN NHƯỢNG ,   DAIM NTAWV POM ZOO LOS KAV TXOJ KEV UA TSIS RAWS CAI RAU COV TSHOOJ CAI NTAWM DAIM NTAWV COG LUS ,   ACUERDO QUE CUBRE EL INCUMPLIMIENTO DE DISPOSICIONES DEL CONTRATO ,   THỎA THUẬN VỀ TRƯỜNG HỢP KHÔNG CHẤP HÀNH CÁC ĐIỀU KHOẢN HỢP ĐỒNG ,   KẾ HOẠCH BẢO TỒN HOẶC THỜI KHÓA BIỂU HOẠT ĐỘNG ,   Healthy Forests Reserve Program Conservation Easement ,   Emergency Watersheds Protection Program Floodplain Warranty Easement Deed ,   Status Review ,   Notice of Agreement or Contract Violation ,   Transfer Agreement ,   Agreement Covering Non-Compliance with Provisions of Contract ,   Application for Long-Term Contracted Assistance ,   Long-Term Agreement ,   Conservation Plan Schedule ,   Conservation Plan Schedule of Operations ,   Revision of Plan or Schedule of Operations or Modification of a Contract ,   Option Agreement To Purchase ,   Option Agreement To Purchase ,   Subordination Agreement and Limited Lien Waiver ,   Notice of Intent To Continue ,   Compatible Use Authorization ,   Application For Payment
Long Term Contracting (Private Sector)	AD-1154_Hmong, AD-1156 Spanish, AD-1156 Vietnamese , NRCS-LTP-80, NRCS-LTP-70, NRCS-LTP-80 Hmong, NRCS-LTP-80 Vietnamese, AD-1158 Spanish, AD-1160 Spanish, AD-1160 Vietnamese, NRCS-LTP-152 Hmong, NRCS-LTP-152 Spanish, NRCS-LTP-152 Vietnamese, NRCS-LTP-153 Spanish, NRCS-LTP-153 Hmong, NRCS-LTP-153 Vietnamese, NRCS-CPA-260 Hmong, NRCS-CPA-260 Vietnamese, AD-1161 Hmong, AD-1160 Hmong, NRCS-LTP-20 Vietnamese, AD-1153 Spanish, AD-1153 Hmong, NRCS-CPA-260 Spanish, AD-1158 Hmong, AD-1155A, AD-1156, NRCS-CPA-260, AD-1157A, AD-1160, AD-1153, AD-1159, NRCS-LTP-13 , NRCS-LTP-20 , NRCS-LTP-151, NRCS-LTP-152 , NRCS-LTP-153, AD-1155, AD-1154, AD-1157, AD-1158, AD-1161, AD-1153 Vietnamese, AD-1154 Spanish, AD-1154 Vietnamese, AD-1155 Hmong, AD-1155 Spanish, AD-1155 Vietnamese, AD-1156 Hmong, NRCS-LTP-80 Spanish, NRCS-LTP-70 Hmong, NRCS-LTP-70 Vietnamese, AD-1161 Vietnamese, NRCS-LTP-20 Hmong, NRCS-LTP-20 Spanish, NRCS-LTP-70 Spanish, AD-1158 Vietnamese, AD-1161 Spanish	DAIM NTAWV THOV TXHAWM RAU COV KEV PAB SIJHAWM NTEV LOS NTAWM TXOJ TXOJ HAUJLWM ,   SOLICITUD DE CONTRATACIÓN A LARGO PLAZO ASISTENCIA EL PROGRAMA ,   ĐƠN THAM GIA NHẬN HỖ TRỢ THEO HỢP ĐỐNG DÀI HẠN THÔNG QUA CHƯƠNG TRÌNH ,   KEV POM ZOO NTEV NTEV ,   ACUERDO A LARGO PLAZO ,   HỢP ĐỒNG DÀI HẠN ,   Txoj kev npaj kev txuag CIJ QHIB ,   PLAN DE CONSERVACIÓN PROGRAMACIÓN DE OPERACIONES ,   KẾ HOẠCH BẢO TỒN LỊCH TRÌNH HOẠT ĐỘNG ,   Hom phiaj hloov Los siv ntawv hloov ,   REVISIÓN DEL PLAN O PROGRAMA DE OPERACIONES O MODIFICACIÓN DE UN CONTRATO ,   SỬA ĐỔI KẾ HOẠCH HAY LỊCH TRÌNH HOẠT ĐỘNG HAY ĐIỂU CHỈNH HỢP ĐỒNG ,   DAIM NTAWV POM ZOO THIAB KEV TXWV YWV YAM MUAJ NQI NTAWM TUS NEEG TSHUAV NUJ NQI ,   ACUERDO DE SUBORDINACIÓN Y DE RENUNCIA DE DERECHO LIMITADA ,   HỢP ĐỒNG CÔNG TRÌNH PHỤ VÀ VIỆC MIỄN TRỪ TRÁCH NHIỆM GÁN NỢ CÓ GIỚI HẠN ,   LUB LAJ THAWJ TSO CAI SIV ,   AUTORIZACIÓN DE USO COMPATIBLE ,   ỦY QUYỀN SỬ DỤNG THÍCH HỢP ,   DAIM NTAWV THOV COV NYIAJ ,   SOLICITUD DE PAGO ,   Txoj kev Pab Txuag Cov hav zoov Liaj Teb Kom Zoo Txog Kev Zam Siv Av ,   Servidumbre de conservación del programa de reserva de bosques saludables ,   Quyền Địa Dịch Bảo Tồn Trong Chương Trình Khu Bảo Tồn Rừng Bền Vững ,   ĐƠN XIN THANH TOÁN ,   Daim Ntawv Lav Tso Cai Siv Av Rau Kev Tsim Pas Dej CeevLos Tiv Thaiv Thaj Av Uas Muaj Dej Nyab ,   Escritura traslativa de dominio de servidumbre del Programa de protección de cuencas por emergencias en llanuras inundables ,   Khế Ước Bảo Đảm về Quyền Sử Dụng Đất đối với Khu Vực Có Nguy Cơ Lụt Lội trong Chương Trình Bảo Vệ các Lưu Vực Nước Khẩn Cấp ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   DAIM NTAWV POM ZOO HLOOV TSWV ,   ACUERDO DE TRANSFERENCIA ,   HỢP ĐỒNG CHUYỂN NHƯỢNG ,   DAIM NTAWV POM ZOO LOS KAV TXOJ KEV UA TSIS RAWS CAI RAU COV TSHOOJ CAI NTAWM DAIM NTAWV COG LUS ,   ACUERDO QUE CUBRE EL INCUMPLIMIENTO DE DISPOSICIONES DEL CONTRATO ,   THỎA THUẬN VỀ TRƯỜNG HỢP KHÔNG CHẤP HÀNH CÁC ĐIỀU KHOẢN HỢP ĐỒNG ,   Emergency Watersheds Protection Program Floodplain Warranty Easement Deed ,   Notice of Agreement or Contract Violation ,   Transfer Agreement ,   Agreement Covering Non-Compliance with Provisions of Contract ,   Healthy Forests Reserve Program Conservation Easement ,   Application for Long-Term Contracted Assistance ,   Long-Term Agreement ,   Conservation Plan Schedule of Operations ,   Conservation Plan Schedule of Operations ,   Revision of Plan or Schedule of Operations or Modification of a Contract ,   Option Agreement To Purchase ,   Option Agreement To Purchase Amendment 1 ,   Subordination Agreement and Limited Lien Waiver ,   Notice of Intent To Continue ,   Compatible Use Authorization ,   Application For Payment ,   Agreement for the Purchase of Conservation Easement ,   Agreement for the Purchase of Conservation Easement ,   Status Review
Long Term Contracting (Individuals)	NRCS-LTP-70 Hmong, NRCS-LTP-152 Spanish, NRCS-LTP-70 Spanish, NRCS-LTP-70 Vietnamese, NRCS-LTP-20 Spanish, AD-1155 Vietnamese, NRCS-LTP-152 Hmong, NRCS-LTP-80, NRCS-LTP-70, AD-1156 Hmong, AD-1154 Spanish, AD-1158 Vietnamese, AD-1158 Spanish, NRCS-CPA-260 Hmong, NRCS-LTP-153 Spanish, NRCS-LTP-80 Vietnamese, NRCS-LTP-80 Spanish, NRCS-LTP-80 Hmong, AD-1155 Hmong, NRCS-CPA-260 Vietnamese, NRCS-LTP-153 Vietnamese, NRCS-LTP-20 Hmong, NRCS-LTP-20 Vietnamese, AD-1153 Hmong, AD-1153 Spanish, AD-1153 Vietnamese, AD-1154 Hmong, AD-1154 Vietnamese, AD-1156 Spanish, AD-1156 Vietnamese, AD-1158 Hmong, AD-1160 Hmong, AD-1160 Spanish, AD-1160 Vietnamese, AD-1161 Spanish, AD-1161 Hmong, NRCS-CPA-260 Spanish, NRCS-LTP-153 Hmong, NRCS-LTP-152 Vietnamese, AD-1155 Spanish, NRCS-LTP-151, AD-1153 , AD-1154 , AD-1155 , AD-1156 , AD-1157, AD-1157A, AD-1158, AD-1159, AD-1160, AD-1161 , NRCS-LTP-152, NRCS-LTP-13, AD-1155A, NRCS-LTP-153, NRCS-LTP-20, NRCS-CPA-260, AD-1161 Vietnamese, NRCS-LTP-152 hmong	ACUERDO QUE CUBRE EL INCUMPLIMIENTO DE DISPOSICIONES DEL CONTRATO ,   THỎA THUẬN VỀ TRƯỜNG HỢP KHÔNG CHẤP HÀNH CÁC ĐIỀU KHOẢN HỢP ĐỒNG ,   HỢP ĐỒNG CHUYỂN NHƯỢNG ,   ACUERDO DE TRANSFERENCIA ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   Daim Ntawv Lav Tso Cai Siv Av Rau Kev Tsim Pas Dej CeevLos Tiv Thaiv Thaj Av Uas Muaj Dej Nyab ,   Escritura traslativa de dominio de servidumbre del Programa de protección de cuencas por emergencias en llanuras inundables ,   Khế Ước Bảo Đảm về Quyền Sử Dụng Đất đối với Khu Vực Có Nguy Cơ Lụt Lội trong Chương Trình Bảo Vệ các Lưu Vực Nước Khẩn Cấp ,   PLAN DE CONSERVACIÓN PROGRAMACIÓN DE OPERACIONES ,   Txoj kev npaj kev txuag CIJ QHIB ,   KẾ HOẠCH BẢO TỒN LỊCH TRÌNH HOẠT ĐỘNG ,   DAIM NTAWV POM ZOO HLOOV TSWV ,   ĐƠN XIN THANH TOÁN ,   DAIM NTAWV POM ZOO HLOOV TSWV ,   Conservation Plan Schedule of Operation ,   Conservation Plan Schedule of Operations ,   Status Review ,   Emergency Watersheds Protection Program Floodplain Warranty Easement Deed ,   Healthy Forests Reserve Program Conservation Easement ,   Notice of Agreement or Contract Violation ,   Transfer Agreement ,   Agreement Covering Non-Compliance with Provisions of Contract ,   Agreement for the Purchase of Conservation Easement ,   Agreement for the Purchase of Conservation Easement ,   DAIM NTAWV THOV TXHAWM RAU COV KEV PAB SIJHAWM NTEV LOS NTAWM TXOJ TXOJ HAUJLWM ,   SOLICITUD DE CONTRATACIÓN A LARGO PLAZO ASISTENCIA EL PROGRAMA ,   ĐƠN THAM GIA NHẬN HỖ TRỢ THEO HỢP ĐỐNG DÀI HẠN THÔNG QUA CHƯƠNG TRÌNH ,   KEV POM ZOO NTEV NTEV ,   ACUERDO A LARGO PLAZO ,   HỢP ĐỒNG DÀI HẠN ,   Hom phiaj hloov Los siv ntawv hloov ,   REVISIÓN DEL PLAN O PROGRAMA DE OPERACIONES O MODIFICACIÓN DE UN CONTRATO ,   SỬA ĐỔI KẾ HOẠCH HAY LỊCH TRÌNH HOẠT ĐỘNG HAY ĐIỂU CHỈNH HỢP ĐỒNG ,   HỢP ĐỒNG CÔNG TRÌNH PHỤ VÀ VIỆC MIỄN TRỪ TRÁCH NHIỆM GÁN NỢ CÓ GIỚI HẠN ,   ACUERDO DE SUBORDINACIÓN Y DE RENUNCIA DE DERECHO LIMITADA ,   DAIM NTAWV POM ZOO THIAB KEV TXWV YWV YAM MUAJ NQI NTAWM TUS NEEG TSHUAV NUJ NQI ,   LUB LAJ THAWJ TSO CAI SIV ,   AUTORIZACIÓN DE USO COMPATIBLE ,   ỦY QUYỀN SỬ DỤNG THÍCH HỢP ,   SOLICITUD DE PAGO ,   DAIM NTAWV THOV COV NYIAJ ,   Txoj kev Pab Txuag Cov hav zoov Liaj Teb Kom Zoo Txog Kev Zam Siv Av ,   Servidumbre de conservación del programa de reserva de bosques saludables ,   Quyền Địa Dịch Bảo Tồn Trong Chương Trình Khu Bảo Tồn Rừng Bền Vững ,   DAIM NTAWV POM ZOO LOS KAV TXOJ KEV UA TSIS RAWS CAI RAU COV TSHOOJ CAI NTAWM DAIM NTAWV COG LUS ,   Option Agreement to Purchase ,   Option Agreement to Purchase Amendment 1 ,   Application for Long-Term Contracted Assistance Through The Program ,   Long-Term Agreement ,   Revision of Plan or Schedule of Operations or Modification of a Contract ,   Subordination Agreement and Limited Lien Waiver ,   Notice of Intent to Continue ,   Compatible Use Authorization ,   Application for Payment

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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	5,560	5,560	0	0	0	0
Annual Time Burden (Hours)	3,085	3,085	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:

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Annual Cost to Federal Government: $168,379

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.     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? No

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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: 09/14/2020

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