MCC Restricted Data Use Application

Forms and Documents

Document	Type	Status	Availability
Form EP-002 Responsible Data Use Request Form	Form and Instruction	New	Repair queued
Supporting Statement_Final.pdf	Supporting Statement A	Uploaded 2022-02-01	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
251392	Responsible Data Use Request Form	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202108-0414-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: MCC	Agency Tracking No: MCC-PRA01
Title: MCC Restricted Data Use Application
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/02/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	50	0
Time Burden (Hours)	33	0
Cost Burden (Dollars)	0	0

---

Abstract: MCC is committed to providing public access to high-value data collected as part of the development, implementation, and evaluation of MCC-funded assistance programs, while being equally committed to protecting the confidentiality of individuals and organizations from which the data are collected. To achieve these twin aims, MCC publishes de-identified public use files of microdata on its website through the MCC Evaluation Catalog. In addition, MCC plans to make restricted data files available in cases where the de-identification efforts for public use files would significantly impair the analytic potential of the data, or where the data contain highly sensitive information that cannot be shared as a public-use file. However, access to restricted data will only be granted to users who meet eligibility criteria and agree to terms of access established by MCC, including agreeing to follow strict requirements for maintaining data confidentiality. The MCC Restricted Data Use Application collects information that will be used by MCC and its data steward, the University of Michigan’s Interagency Consortium for Political and Social Research (ICPSR), to evaluate whether respondents qualify for access to MCC’s restricted data. The application, which will be submitted electronically, requires the provision of specific information by the respondent, such as (i) the name, contact information, and CV/Resume/Biosketch for each person that will access the restricted data, (ii) a research proposal describing the need for the data and how it will be used, (iii) evidence of Institutional Review Board approval or exemption of the research proposal, and (iv) a signed restricted data use agreement.

---

Authorizing Statute(s): PL: Pub.L. 114 - 191 H.R. 3766 Name of Law: Foreign Aid Transparency and Accountability Act of 2016
   PL: Pub.L. 115 - 345 H.R. 4174 Name of Law: Foundations for Evidence-Based Policymaking Act of 2018
  

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 21358	04/22/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 47160	08/23/2021
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
Responsible Data Use Request Form	EP-002	Restricted Data User Request Form

---

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	50	0	0	50	0	0
Annual Time Burden (Hours)	33	0	0	33	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is the initial estimated burden for this new information collect request. MCC will incur the costs associated with the data steward’s services, but there is no additional cost to the federal government in terms of staff or capital costs.

---

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? 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: 02/02/2022

---