Custom Work Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form QID Custom Work Survey - Non Response	Form and Instruction	Unchanged	Repair queued
Form QID Custom Work Survey - Non Response	Form and Instruction	Unchanged	Repair queued
Form QID Custom Rates -Master	Form and Instruction	Modified	Available
Form QID Custom Rates Survey	Form and Instruction	Modified	Available
Form QID Custom Work Survey	Form and Instruction	Modified	Repair queued
0266 - Custom Rates Survey - Non-substantive change - May 13, 2021.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-07	Available
0266 - Custom Rates Survey - Non-substantive change - May 13, 2021.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-07	Repair queued
0266 - Custom Work Surveys - Non-substantive Change Request - Aug 19, 2019.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-08-19	Repair queued
0266 - Custom Work Surveys - Non-substantive Change Request - Aug 19, 2019.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-08-19	Repair queued
Custom Rates 2018 SSB.docx	Supporting Statement B	Uploaded 2019-03-04	Repair queued
Custom Rates 2018 SSB.docx	Supporting Statement B	Uploaded 2019-03-04	Repair queued
Custom Rates 2018 SSA.docx	Supporting Statement A	Uploaded 2019-03-04	Repair queued
Custom Rates 2018 SSA.docx	Supporting Statement A	Uploaded 2019-03-04	Repair queued
FRN - SORN - Apr 27, 2009.pdf	Supplementary Document	Uploaded 2019-03-04	Available
FRN - SORN - Apr 27, 2009.pdf	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 7 USC - Sec 3601.1 - General Statement of Public Information (FOIA).doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 7 USC - Sec 3601.1 - General Statement of Public Information (FOIA).doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
Public Law 107-347 Sec 503(a) - CIPSEA - Confidentiality of Data - 06-15-2007.pdf	Supplementary Document	Uploaded 2019-03-04	Available
Public Law 107-347 Sec 503(a) - CIPSEA - Confidentiality of Data - 06-15-2007.pdf	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 18 USC - Sec 1905 - Disclosure.docx	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 18 USC - Sec 1905 - Disclosure.docx	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 7 USC - Sec 2204(a) Gen Duties[1].doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 7 USC - Sec 2204(a) Gen Duties[1].doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
Title 7 USC - Sec 2276-Confidentiality[1] - Section 1770 of Food Security Act.doc	Supplementary Document	Uploaded 2019-03-04	Source copy available
Title 7 USC - Sec 2276-Confidentiality[1] - Section 1770 of Food Security Act.doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
PIA - NASS UNIX MA Oct. 2011.doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
PIA - NASS UNIX MA Oct. 2011.doc	Supplementary Document	Uploaded 2019-03-04	Repair queued
NASDA - 004 Revised - June 2009.docx	Supplementary Document	Uploaded 2019-03-04	Repair queued
NASDA - 004 Revised - June 2009.docx	Supplementary Document	Uploaded 2019-03-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235167	Custom Work Survey - Non Response	Form and Instruction	Unchanged	Custom Work Survey - Non Response
235167	Custom Work Survey - Non Response	Form and Instruction	Unchanged
235165	Custom Work Survey	Form and Instruction	Modified	Custom Rates -Master
235165	Custom Work Survey	Form and Instruction	Modified	Custom Rates Survey
235165	Custom Work Survey	Form and Instruction	Modified

ICR Details

OMB Control No: 0535-0266	ICR Reference No: 202105-0535-002
Status: Historical Active	Previous ICR Reference No: 201908-0535-005
Agency/Subagency: USDA/NASS	Agency Tracking No:
Title: Custom Work Surveys
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: 06/11/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/10/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	05/31/2022	05/31/2022
Responses	88,706	0	88,706
Time Burden (Hours)	15,024	0	15,024
Cost Burden (Dollars)	0	0	0

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Abstract: This is a non-substantive change request to the Custom Rates questionnaire to accommodate a request from the cooperator and respondents in Wisconsin. The change will add a few breakouts for easier reporting to the master listing. No additional burden is anticipated.

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Authorizing Statute(s): PL: Pub.L. 107 - 347 3501 Name of Law: Confidential Information Protection and Statistical Efficiency
   US Code: 7 USC 3601.1 Name of Law: General Statement of Public Information (FOIA)
   US Code: 7 USC 2276 Name of Law: Confidentiality of Information
   US Code: 18 USC 1905 Name of Law: Disclosure of Confidential Information
   US Code: 7 USC 2204 Name of Law: General Duties of Secretary
  

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 56798	11/14/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 9481	03/15/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Custom Work Survey	QID, QID	Custom Rates Survey ,   Custom Rates -Master
Custom Work Survey - Non Response	QID	Custom Work Survey - Non Response

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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	88,706	88,706	0	0	0	0
Annual Time Burden (Hours)	15,024	15,024	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:

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? 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: 05/10/2021

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