Department of the Navy (DON) Reasonable Accommodations (RA) Tracker

Forms and Documents

Document Name	Status
Form SECNAV 12306/1 Confirmation of Reasonable Accommodation Request Form and Instruction	Modified
0703-0063_SSA_1.24.2022.DOCX Supporting Statement A	2022-01-24

IC Document Collections

IC ID	Document Title	Status
218795	Confirmation of Reasonable Accommodation Request Form and Instruction	Modified

ICR Details

OMB Control No: 0703-0063	ICR Reference No: 202111-0703-001
Status: Received in OIRA	Previous ICR Reference No: 201811-0703-001
Agency/Subagency: DOD/NAVY	Agency Tracking No: 0703-0063
Title: Department of the Navy (DON) Reasonable Accommodations (RA) Tracker
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/26/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2022
Responses	2,000	2,000
Time Burden (Hours)	667	667
Cost Burden (Dollars)	33,220	32,180

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Abstract: The collected information is used to support the Department of the Navy’s reasonable accommodation process available to civilian employees and applicants for employment. The DON Reasonable Accommodations Tracker serves to electronically document the reasonable accommodation process to ensure timeliness of requests, and to track estimated/actual cost of reasonable accommodations throughout the DON. Practitioners responsible for facilitating the reasonable accommodation process use the DON Reasonable Accommodation Tracker to electronically document the events that occurred in connection with the processing of the reasonable accommodation request, and as a repository for the electronic documents produced and obtained in connection with the request, to include the SECNAV 12306/1.

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Authorizing Statute(s): EO: EO 13163 Name/Subject of EO: Increasing the Opportunity for Individuals with Disabilities to Be Employed in the Federal Governmen
   EO: EO 13164 Name/Subject of EO: Requiring Federal Agencies to Establish Procedures to Facilitate the Provision of Reasonable Accommo
   US Code: 10 USC 5041 Name of Law: Headquarters, Marine Corps
   US Code: 29 USC 701 Name of Law: Rehabilitation Act of 1973
   US Code: 42 USC 12101 Name of Law: Americans with Disabilities Act of 1990
   US Code: 10 USC 5013 Name of Law: Secretary of the Navy
  

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:
	86 FR 63006	11/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 3515	01/24/2022
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Confirmation of Reasonable Accommodation Request	SECNAV 12306/1	Confirmation of Reasonable Accommodation Request

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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	2,000	2,000	0	0	0	0
Annual Time Burden (Hours)	667	667	0	0	0	0
Annual Cost Burden (Dollars)	33,220	32,180	0	1,040	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: $49,243

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

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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: 01/26/2022

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