SUPPORTING STATEMENT - PART A
Navy Flight Demonstration Squadron (Blue Angels) Backseat Rider Programs Forms – 0703-0073
Summary of Changes from Previously Approved Collection
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1. Need for the Information Collection
This information collection is authorized under 10 U.S.C. 5013; CNATRA Instruction 5357.1C, “Navy Flight Demonstration Squadron Backseat Rider Program;” OPNAV Instruction 3710.7V, “Naval Air Training and Operating Procedures Standardization Program;” and CNAF M-3710.7, “NATOPS General Flight and Operating Instructions Manual.”
The purpose of the information requested is to screen, medically clear, and coordinate with individuals nominated for the Key Influencer (KI), Public Affairs Orientation, and Media Riders programs so that they may participate as passengers in orientation flights conducted by the U.S. Navy Flight Demonstration Squadron (also known as the Blue Angels). These orientation flights promote Naval Aviation professionalism and directly contribute to public understanding of the roles and missions of the Navy and Marine Corps.
2. Use of the Information
Respondents to this information collection are individuals identified through the KI program as having positively shaped attitudes and opinions of youth in their communities, such as community leaders, public figures, teachers, youth organization leaders, and school administrators. Respondents also include credentialed media representatives who report on their experience in the aircraft and the KI Riders through an accredited publication.
OPNAV forms 5720/14, “Key Influencer Nominee Form and Biography,” and 5720/13, “Media Rider Nominee,” are completed by local air show liaisons or Navy recruiters. Respondents actually selected for orientation flights complete OPNAV form 5720/15, “F/A-18 Medical Questionnaire.” OPNAV forms 5720/13, 5720/14, and 5720/15 are completed in order to ensure respondent qualifications, certify they are medically fit to fly, and facilitate coordination with the Blue Angels Public Affairs staff regarding the planned flight.
OPNAV forms are electronic fillable forms. The Blue Angels Public Affairs staff or local air show liaison send these forms to the respondents by email. The respondents complete the forms and can return them by email, mail, or in person at the Blue Angels office located in Pensacola, FL.
Once respondents return the completed forms to the Blue Angels Public Affairs staff, the forms are then processed internally. The OPNAV 5720/14 “Key Influencer Nominee Form and Biography” is sent to the Blue Angels Events Coordinator for review. This form is also reviewed by the Chief of Naval Air Training (CNATRA) for approval of the respondent. OPNAV 5720/13 “Media Rider Nominee” is reviewed by the Public Affairs staff of the Blue Angels and CNATRA.
For those selected for orientation flights, respondents are sent a letter along with OPNAV form 5720/15 “F/A-18 Medical Questionnaire.” The letter instructs respondents to complete the medical questionnaire and undergo a required physical examination by their local physician. Sections 13 through 16 are completed by the respondent’s examining physician. The medical questionnaire is then reviewed and approved by the Blue Angels’ Flight Surgeon.
Completion of OPNAV forms 5720/13, 5720/14, and 5720/15 is required in order for the Blue Angels to be readily assured of the qualifications, physical fitness, and contact information of respondents. Having these forms reviewed by the Blue Angels’ Flight Surgeon, Public Affairs and Events Coordinator staff is essential to maintain the safety and integrity of the Navy Flight Demonstration Backseat Rider process and program. Completion and processing of the forms for the Backseat Rider program results in successful orientation flights with selected members of the public and media representatives.
3. Use of Information Technology
99% of responses are collected electronically. On very rare occasions, respondents may choose to return their responses via mail or drop them off at the Blue Angels office in Pensacola, FL. Blue Angels Public Affairs staff encourage respondents to complete and return their forms electronically by initiating and maintaining communication through email.
4. Non-duplication
The information obtained through this collection is unique and is not already available for use or adaptation from another cleared source.
5. Burden on Small Businesses
This information collection does not impose a significant economic impact on a substantial number of small businesses or entities.
6. Less Frequent Collection
Responses are collected throughout the Blue Angels air show season, which occurs from March to November. The Blue Angels perform at air shows annually up to thirty-two times a year.
The Blue Angels are required to collect this information in order to ensure passengers on backseat flights are qualified, physically fit, and can be readily communicated with prior to the flight. Should this collection be conducted less frequently, the Backseat Rider program will have fewer passengers, and consequently, the program will have fewer opportunities to promote the goal of the Blue Angels, U.S. Navy and U.S. Marine Corps. Additionally, Blue Angels pilots and their passengers would be more exposed to risks associated with flights in high performance tactical aircraft, including possible injury or death.
7. Paperwork Reduction Act Guidelines
This collection of information does not require collection to be conducted in a manner inconsistent with the guidelines delineated in 5 CFR 1320.5(d)(2).
8. Consultation and Public Comments
Part A: PUBLIC NOTICE
A 60-Day Federal Register Notice (FRN) for the collection published on Tuesday, March 15, 2022. The 60-Day FRN citation is 87 FR 14524.
No comments were received during the 60-Day Comment Period.
A 30-Day Federal Register Notice for the collection published on Friday, May 13, 2022. The 30-Day FRN citation is 87 FR 29303.
Part B: CONSULTATION
The Navy Flight Demonstration Squadron regularly consults with air show committees and Navy recruiters in order to gather information and contacts. It is through such consultations that KI and media nominations are developed from local communities where the Blue Angels perform.
9. Gifts or Payment
No payments or gifts are being offered to respondents as an incentive to participate in the collection.
10. Confidentiality
The collection instrument requires a Privacy Act Statement and it is listed on each form.
The associated SORN (N05726-1, “Leaders to Sea Database”) is published on the PCLFD website here: https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570367/n05726-1/. A draft copy of proposed revisions to the SORN has also been provided with this package for OMB’s review.
A Privacy Impact Assessment (PIA) is not required for this collection because PII is not being collected electronically.
Records and Retention Schedule: Copies of respondent OPNAV form 5720/15 are retained by the Flight Surgeon until the end of the annual air show season and are then destroyed. Copies of OPNAV forms 5720/13 and 5720/14 are retained until the end of the air show event and are then destroyed.
11. Sensitive Questions
Medical information that may be considered sensitive is collected on the OPNAV Form 5720/15, “F/A-18 Medical Questionnaire.” This information is necessary to ensure that the Backseat Rider is medically and physically fit to fly.
12. Respondent Burden and its Labor Costs
Part A: ESTIMATION OF RESPONDENT BURDEN
Collection Instruments
OPNAV Form 5720/14, “Key Influencer Nominee Form and Biography”
Number of Respondents: 256
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 256
Response Time: 30 minutes
Respondent Burden Hours: 128 hours
OPNAV Form 5720/13, “Media Rider Nominee”
Number of Respondents: 128
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 128
Response Time: 30 minutes
Respondent Burden Hours: 64 hours
OPNAV Form 5720/15, “F/A-18 Medical Questionnaire”
Number of Respondents: 96
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 96
Response Time: 30 minutes
Respondent Burden Hours: 48 hours
Total Submission Burden
Total Number of Respondents: 384 (respondents of OPNAV 5720/15 have already responded to one of 5720/13 or 5720/14)
Total Number of Annual Responses: 480
Total Respondent Burden Hours: 240 hours
Part B: LABOR COST OF RESPONDENT BURDEN
Collection Instruments
OPNAV Form 5720/14, “Key Influencer Nominee Form and Biography”
Number of Total Annual Responses: 256
Response Time: 30 minutes
Respondent Hourly Wage: $26.91
Labor Burden per Response: $13.46
Total Labor Burden: $3,444
OPNAV Form 5720/13, “Media Rider Nominee”
Number of Total Annual Responses: 128
Response Time: 30 minutes
Respondent Hourly Wage: $31.73
Labor Burden per Response: $15.87
Total Labor Burden: $2,031
OPNAV Form 5720/15, “F/A-18 Medical Questionnaire”
Number of Total Annual Responses: 96
Response Time: 30 minutes
Respondent Hourly Wage: $29.32
Labor Burden per Response: $14.66
Total Labor Burden: $1,407
Overall Labor Burden
Total Number of Annual Responses: 480
Total Labor Burden: $6,882
The Respondent hourly wage was determined by using the U.S. Bureau of Labor Statistics Website (https://www.bls.gov/oes/current/oes_stru.htm). OPNAV Form 5720/14 used average hourly wage for Elementary and Secondary School Teachers. Form 5720/13 used average hourly wage for News Analysts, Reporters, and Journalists. Form 5720/15 used an average of those two categories.
13. Respondent Costs Other Than Burden Hour Costs
Annualized costs to respondents other than labor burden costs include the costs associated with being medically examined by a physician. The co-pay costs and potential fees physicians may charge to complete sections 13 through 16 of OPNAV 5720/15 vary widely and are dependent upon the health insurance coverage of respondents and region.
Using co-pay statistics published by the Agency for Healthcare Research and Quality of the U.S. Department of Health and Human Services in the Medical Expenditure Panel Survey (Statistical Brief 427, 2014), we estimate respondents will incur $2,281.92 annually in co-pay costs.
Available data for the fees associated with physicians completing medical forms was found to be unreliable, arbitrary and dependent upon physician practice guidelines. Fees charged by physicians to complete medical forms for patients are often charged as an annual administrative fee or are included in the fee for a physical, ranging from $15 to $25. In some cases, physicians do not charge patients to complete medical forms. We estimate respondents to incur $2,400.00 annually in medical form fees.
Additionally, respondents who return their forms by mail are required to cover postage and mailing costs at their own expense, however, the amount of responses received by mail are less than 1%.
14. Cost to the Federal Government
Part
A: LABOR COST TO THE FEDERAL GOVERNMENT
Collection Instruments
OPNAV Form 5720/14
Number of Total Annual Responses: 256
Processing Time per Response: 30 minutes
Hourly Wage of Worker(s) Processing Responses: $35.49
Cost to Process Each Response: $17.75
Total Cost to Process Responses: $4,542.72
OPNAV Form 5720/13
Number of Total Annual Responses: 128
Processing Time per Response: 30 minutes
Hourly Wage of Worker(s) Processing Responses: $35.49
Cost to Process Each Response: $17.75
Total Cost to Process Responses: $2,271.36
OPNAV Form 5720/15
Number of Total Annual Responses: 96
Processing Time per Response: 30 minutes
Hourly Wage of Worker(s) Processing Responses: $42.55
Cost to Process Each Response: $21.28
Total Cost to Process Responses: $2,042.40
Overall Labor Burden to the Federal Government
a. Total Number of Annual Responses: 480
b. Total Labor Burden: $8,856.48
OPNAV Forms 5720/13 and 5720/14 will be processed by the Blue Angels Public Affairs specialists and Events Coordinators; hourly wage was calculated using the O-3/ GS-11 scale. OPNAV Form 5720/15 will be processed by the Blue Angels’ Navy Flight Surgeon; hourly wage was calculated using the O-4/ GS-12 scale. Office of Personnel Management Salary Table: (https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2022/GS_h.pdf)
Part B: OPERATIONAL AND MAINTENANCE COSTS
Cost Categories
Equipment: $0
Printing: $0
Postage: $0
Software Purchases: $0
Licensing Costs: $0
Other: $0
Total Operational and Maintenance Costs: $0
Part C: TOTAL COST TO THE FEDERAL GOVERNMENT
Total Labor Cost to the Federal Government: $8,856.48
Total Operational and Maintenance Costs: $0
Total Cost to the Federal Government: $8,856.48
15. Reasons for Change in Burden
There has been a minimal increase in burden due to increase in wages.
16. Publication of Results
The results of this information collection will not be published.
17. Non-Display of OMB Expiration Date
We are not seeking approval to omit the display of the expiration date of the OMB approval on the collection instrument.
18. Exceptions to “Certification for Paperwork Reduction Submissions”
We are not requesting any exemptions to the provisions stated in 5 CFR 1320.9.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kaitlin Chiarelli |
| File Modified | 0000-00-00 |
| File Created | 2022-05-19 |