Survivor Advisory Working Group Application

Forms and Documents

Document	Type	Status	Availability
Form TBD Survivor Advisory Working Group Application	Form	Modified	Repair queued
0702-0144_SSA_7.20.2021.docx	Supporting Statement A	Uploaded 2021-07-20	Repair queued
SAWG Charter Renewal - 1 OCT 2019 - signed.pdf	Supplementary Document	Uploaded 2021-07-19	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
231556	Survivor Advisory Working Group (SAWG) -Phone Interview	Other-Phone Script	Removed
231457	Survivor Advisory Working Group Application	Form	Modified

ICR Details

OMB Control No: 0702-0144	ICR Reference No: 202107-0702-001
Status: Received in OIRA	Previous ICR Reference No: 201805-0702-002
Agency/Subagency: DOD/DOA	Agency Tracking No:
Title: Survivor Advisory Working Group Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/20/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2021
Responses	20	175
Time Burden (Hours)	40	306
Cost Burden (Dollars)	290	2,220

---

Abstract: The information collected on the application is used to accept new members into the Department of Army, Chief of Staff's (CSA) Survivor Advisory Working Group (SAWG). Respondents are individuals applying to be survivor board members, who will meet bi-annually with senior Army leadership to address worldwide Army survivor related issues. Eligible applicants are fallen service members’ spouses, parents, and children over 18 years of age. Applicants will be nominated by the Army’s Survivor Outreach Services office or survivor-related Non-Federal Entities.

---

Authorizing Statute(s): PL: Pub.L. 116 - 92 580B Name of Law: National Defense Authorization Act for Fiscal Year 2020
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 26706	05/17/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 38319	07/20/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Survivor Advisory Working Group (SAWG) -Phone Interview
Survivor Advisory Working Group Application	TBD	Army Survivor Advisory Working Group

---

ICR Summary of Burden

	Total Request	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	20	175	0	-130	-25	0
Annual Time Burden (Hours)	40	306	0	-260	-6	0
Annual Cost Burden (Dollars)	290	2,220	0	-1,885	-45	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden significantly reduced due to the elimination of the telephone interview portion of the application process. Additionally, the application process starts with a much smaller pool of applicants than previously.

---

Annual Cost to Federal Government: $580

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.     No

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

---

Common Form ICR:  No

---

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: 07/20/2021

---