SUPPORTING STATEMENT - PART A
DLA Energy Request for Customer QR Code – 0704-DLQR
1. Need for the Information Collection
Entities with a fuel purchase agreement with DLA Energy, including DoD, Federal Agencies, Federal Contractors, and Non-US Government Entities, can request a Customer Quick Response (QR) code to purchase petroleum and aerospace products from DLA Energy via the DLA Form 2063, “DLA Energy Request for Customer QR Code.”
DoD Manual 4140.25, “DoD Management of Energy Commodities: Sales Accountability and Documentation Management,” authorizes customers to use several forms of Authorized Purchase Source Media (APSM) to buy fuel from Defense Logistics Agency (DLA) Energy. One of these methods is via Customer QR codes. DLA Energy Publication P-29, “EPoS Customer QR Codes,” implements policy, assigns responsibilities, and provides procedures for managing Customer QR codes.
2. Use of the Information
DLA Energy customers fill out the DLA Form 2063, and provide POC, delivery address, equipment billing and equipment attribute information needed to create a Customer QR code. This form is a fillable PDF and may be downloaded from the DLA Forms website at: https://www.dla.mil/Working-With-DLA/Forms/DLFormList/.
Once completed, customers email the form to a Vehicle Purchase Media Manager, primarily located at a Defense Fuel Support Point, who inputs the form information to the DLA Energy Electronic Point of Sale System to create Customer QR codes. The customer will retain the original form until they receive the QR code labels.
The DLA Energy Help Desk receives a systematic notice to create and send one or more permanent QR code labels to the customer address obtained from the form. The customer receives the label and applies it to applicable equipment for future purchases of capitalized fuel from DLA Energy Fuel Support Points.
When the codes arrive in the mail, the customer signs the receipt portion of the DD Form 2063 and emails the completed form to the DLA Energy Help Desk within five business days after first use of the code to avoid its deactivation, thereby completing the process.
3. Use of Information Technology
The DLA Energy Form 2063 is a fillable and signable PDF that is downloaded from the DLA Energy forms repository then emailed to DLA Energy. All means to obtain, complete, and return the form are 100% electronic. The form is an interim media until a future web-based format is available. DLA Energy expects to implement such a format in the next two years.
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
Information is collected on an as-needed basis. Requesting activities need only submit their request once via DLA Energy Form 2063 as the created Customer QR code is permanent.
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 Friday, June 10, 2022. The 60-Day FRN citation is 87 FR 35522.
No comments were received during the 60-Day Comment Period.
A 30-Day Federal Register Notice for the collection published on Thursday, September 8, 2022. The 30-Day FRN citation is 87 FR 54985.
Part B: CONSULTATION
No additional consultation apart from soliciting public comments through the Federal Register was conducted for this submission.
9. Gifts or Payment
No payments or gifts are being offered to respondents as an incentive to participate in the collection.
10. Confidentiality
A Privacy Act Statement is not required for this collection because we are not requesting individuals to furnish personal information for a system of records.
A System of Record Notice (SORN) is not required for this collection because records are not retrievable by PII.
A Privacy Impact Assessment (PIA) is not required for this collection because PII is not being collected electronically.
Records Retention and Disposition Schedule is DLA Energy/NARA File Code Designation 5335.7: Maintain for two years after deactivation then archive in accordance with DoD regulation.
11. Sensitive Questions
No questions considered sensitive are being asked in this collection.
12. Respondent Burden and its Labor Costs
Part A: ESTIMATION OF RESPONDENT BURDEN
Collection Instrument
DLA Energy Form 2063
Number of Respondents: 730
Number of Responses Per Respondent: 1
Number of Total Annual Responses: 730
Response Time: 1 hour
Respondent Burden Hours: 730
Total Submission Burden
Total Number of Respondents: 730
Total Number of Annual Responses: 730
Total Respondent Burden Hours: 730
Part B: LABOR COST OF RESPONDENT BURDEN
Collection Instrument
DLA Energy Form 2063
Number of Total Annual Responses: 730
Response Time: 1 hour
Respondent Hourly Wage: $38.55
Labor Burden per Response: $38.55
Total Labor Burden: $28,141.50
Overall Labor Burden
Total Number of Annual Responses: 730
Total Labor Burden: $28,142
The Respondent hourly wage was determined by using data from the U.S. Bureau of Labor Statistics for the Professional and business services category in April 2022 (https://www.bls.gov/news.release/empsit.t19.htm).
13. Respondent Costs Other Than Burden Hour Costs
There are no annualized costs to respondents other than the labor burden costs addressed in Section 12 of this document to complete this collection.
14. Cost to the Federal Government
Part A: LABOR COST TO THE FEDERAL GOVERNMENT
Collection Instrument
DLA Energy Form 2063
Number of Total Annual Responses: 730
Processing Time per Response: 0.5 hour
Hourly Wage of Worker(s) Processing Responses: $36.07
Cost to Process Each Response: $18.04
Total Cost to Process Responses: $13,166
Overall Labor Burden to the Federal Government
Total Number of Annual Responses: 730
Total Labor Burden: $13,166
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 Cost: $0
Part C: TOTAL COST TO THE FEDERAL GOVERNMENT
Total Labor Cost to the Federal Government: $13,166
Total Operational and Maintenance Costs: $0
Total Cost to the Federal Government: $13,166
15. Reasons for Change in Burden
This is a new collection with a new associated burden.
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 | 2022-09-09 |