Industrial Minerals Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 9-4146-A Rare Gases Sold or Used	Form and Instruction	New	Repair queued
Form 9-4146-A Rare Gases	Form and Instruction	New	Repair queued
Form 9-4142-Q Crushed and Broken Stone and Construction Sand and Gravel (State and Local)	Form and Instruction	Unchanged	Repair queued
Form 9-4142-Q Construction Sand and Gravel and Crushed and Broken Stone (State and Local)	Form and Instruction	Unchanged	Repair queued
Form 9-4041-A Portland and Masonry Cement (Annual State and Local)	Form and Instruction	Unchanged	Repair queued
Form 9-4041-A Portland and Masonry Cement (State and Local)	Form and Instruction	Unchanged	Repair queued
Form 9-4039-M Portland and Masonry Cement (Monthly - State and Local)	Form and Instruction	Unchanged	Repair queued
Form 9-4039-M Portland Masonry Cement (State and Local)	Form and Instruction	Unchanged	Repair queued
Form 9-4142-Q Crushed and Broken Stone and Construction Sand and Gravel	Form and Instruction	Unchanged	Repair queued
Form 9-4142-Q Construction Sand and Gravel Crushed and Broken Stone	Form and Instruction	Unchanged	Repair queued
Form 9-4144-S Fertilizer Materials	Form and Instruction	Unchanged	Available
Form 9-4144-S Fertilizer Minerals	Form and Instruction	Unchanged	Repair queued
Form 9-4115-A Production of Natural Zeolites	Form	Unchanged	Repair queued
Form 9-4115-A Production of Natural Zeolites	Form	Unchanged	Repair queued
Form 9-4112-A Synthetic Graphite	Form	Unchanged	Repair queued
Form 9-4112-A Synthetic Graphite	Form	Unchanged	Repair queued
Form 9-4041-A Portland and Masonry Cement	Form and Instruction	Unchanged	Repair queued
Form 9-4041-A Portland and Masonry Cement	Form and Instruction	Unchanged	Repair queued
Form 9-4039-M Portland, Blended, and Masonry Cement	Form	Unchanged	Repair queued
Form 9-4039-M Portland, Blended, and Masonry Cement	Form	Unchanged	Repair queued
Form 9-4036-A Diatomite	Form	Unchanged	Repair queued
Form 9-4036-A Diatomite	Form	Unchanged	Repair queued
Form 9-4035-S Phosphate Rock and Phosphoric Acid	Form and Instruction	Unchanged	Repair queued
Form 9-4035-S Phosphate Rock and Phosphoric Acid	Form and Instruction	Unchanged	Repair queued
Form 9-4033-Q Metallic Abrasives	Form	Unchanged	Repair queued
Form 9-4033-Q Metallic Abrasives	Form	Unchanged	Repair queued
Form 9-4032-A Feldspar	Form	Unchanged	Repair queued
Form 9-4032-A Feldspar	Form	Unchanged	Repair queued
Form 9-4031-S Gypsum (Six Month Report)	Form and Instruction	Unchanged	Repair queued
Form 9-4031-S Gypsum (Six Month Report)	Form and Instruction	Unchanged	Repair queued
Form 9-4030-M Marketable Phosphate Rock	Form and Instruction	Unchanged	Repair queued
Form 9-4030-M Marketable Phosphate Rock	Form and Instruction	Unchanged	Repair queued
Form 9-4029-M Elemental Sulfur (purity of 97% or better)	Form	Unchanged	Available
Form 9-4029-M Elemental Sulfur	Form	Unchanged	Repair queued
Form 9-4028-A Natural and Synthetic Gem Material	Form	Unchanged	Repair queued
Form 9-4028-A Natural and Synthetic Gem Material (Private Sector)	Form	Unchanged	Repair queued
Form 9-4027-A Sulfur and Sulfuric Acid	Form and Instruction	Unchanged	Repair queued
Form 9-4027-A Sulfur and Sulfuric Acid	Form and Instruction	Unchanged	Repair queued
Form 9-4026-A Peat	Form	Unchanged	Repair queued
Form 9-4026-A Peat	Form	Unchanged	Repair queued
Form 9-4025-A Expanded Perlite	Form and Instruction	Unchanged	Available
Form 9-4025-A Expanded Perlite	Form and Instruction	Unchanged	Repair queued
Form 9-4024-A Crude Perlite	Form	Unchanged	Repair queued
Form 9-4024-A Crude Perlite	Form	Unchanged	Repair queued
Form 9-4023-A Crude Iodine	Form	Unchanged	Repair queued
Form 9-4023-A Crude Iodine	Form	Unchanged	Repair queued
Form 9-4022-A Natural Graphite Consumption	Form and Instruction	Unchanged	Repair queued
Form 9-4022-A Natural Graphite Consumption	Form and Instruction	Unchanged	Repair queued
Form 9-4021-A Talc, Soapstone, and Pyrophyllite	Form	Unchanged	Repair queued
Form 9-4021-A Talc, Soapstone, and Pyrophyllite	Form	Unchanged	Repair queued
Form 9-4020-A Crude Mica	Form and Instruction	Unchanged	Repair queued
Form 9-4020-A Crude Mica	Form and Instruction	Unchanged	Repair queued
Form 9-4018-A Ground Mica (Including Sericite)	Form	Unchanged	Repair queued
Form 9-4018-A Ground Mica (Including Sericite)	Form	Unchanged	Repair queued
Form 9-4017-A Ball Clay and Kaolin	Form	Unchanged	Repair queued
Form 9-4017-A Ball Clay and Kaolin	Form	Unchanged	Repair queued
Form 9-4016-A Bentonite and Fuller's Earth	Form	Unchanged	Repair queued
Form 9-4016-A Bentonite and Fuller's Earth	Form	Unchanged	Repair queued
Form 9-4015-A Common Clay and Shale and Fire Clay	Form	Unchanged	Repair queued
Form 9-4015-A Common Clay and Shale and Fire Clay	Form	Unchanged	Repair queued
Form 9-4014-A Quartz Crystal	Form	Unchanged	Repair queued
Form 9-4014-A Quartz Crystal	Form	Unchanged	Repair queued
Form 9-4013-A Salt Plant Report	Form and Instruction	Unchanged	Available
Form 9-4013-A Salt Plant Report	Form and Instruction	Unchanged	Repair queued
Form 9-4012-A Salt Company Report	Form and Instruction	Unchanged	Repair queued
Form 9-4012-A Salt Company Report	Form and Instruction	Unchanged	Repair queued
Form 9-4011-A Barite	Form	Unchanged	Repair queued
Form 9-4011-A Barite	Form	Unchanged	Repair queued
Form 9-4010-A Industrial Sand and Gravel - Sold or Used	Form	Unchanged	Repair queued
Form 9-4010-A Industrial Sand and Gravel - Sold or Used	Form	Unchanged	Repair queued
Form 9-4009-A Dimension Stone (Including Slate)	Form	Unchanged	Available
Form 9-4009-A Dimension Stone (Including Slate)	Form	Unchanged	Repair queued
Form 9-4007-A Stone - Crushed and Broken	Form	Unchanged	Repair queued
Form 9-4007-A Stone - Crushed and Broken (State/local govt)	Form	Unchanged	Repair queued
Form 9-4008-A Construction Sand and Gravel - Sold or Used	Form	Unchanged	Repair queued
Form 9-4008-A Construction Sand and Gravel - Sold or Used (State & Local Govt)	Form	Unchanged	Repair queued
Form 9-4008-A Construction Sand and Gravel - Sold or Used	Form	Unchanged	Repair queued
Form 9-4008-A Construction Sand and Gravel - Sold or Used (Private Sector)	Form	Unchanged	Repair queued
Form 9-4007-A Stone - Crushed and Broken	Form	Unchanged	Repair queued
Form 9-4007-A Stone-Crushed and Broken (Private Sector)	Form	Unchanged	Repair queued
Form 9-4006-A Gypsum	Form and Instruction	Unchanged	Repair queued
Form 9-4006-A Gypsum	Form and Instruction	Unchanged	Repair queued
Form 9-4005-A Exfoliated Vermiculate	Form and Instruction	Unchanged	Available
Form 9-4005-A Exfoliated Vermiculite	Form and Instruction	Unchanged	Repair queued
Form 9-4004-A Pumice and Pumicite [Including Volcanic Ash]	Form and Instruction	Unchanged	Available
Form 9-4004-A Pumice and Pumicite (including Volcanic Ash)	Form and Instruction	Unchanged	Available
Form 9-4001-A Lime	Form	Unchanged	Available
Form 9-4001-A Lime	Form	Unchanged	Repair queued
1028-0062 Published 30 Day Notice - 88 FR 36611 - 06052023.pdf	Supplementary Document	Uploaded 2023-06-05	Repair queued
1028-0062 2023-04406 60 Day FRN notice pub 3323.pdf	Supplementary Document	Uploaded 2023-05-03	Repair queued
1028-0062 SS-A Industrial Minerals 20230501 sts v6.docx	Supporting Statement A	Uploaded 2023-05-03	Repair queued
1028-0062 SS-B Industrial Minerals 20230111 sts v1.docx	Supporting Statement B	Uploaded 2023-05-03	Repair queued
50 USC 2061 Defense production act.pdf	Supplementary Document	Uploaded 2018-09-24	Repair queued
50 USC 98 strategic critical materials.pdf	Supplementary Document	Uploaded 2018-09-24	Repair queued
30 USC 21a.pdf	Supplementary Document	Uploaded 2018-09-24	Repair queued
30 USC 1601.pdf	Supplementary Document	Uploaded 2018-09-24	Repair queued
Proprietary Data Brochure.pdf	Supplementary Document	Uploaded 2015-10-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
258809	Rare Gases	Form and Instruction	New	Rare Gases Sold or Used
258809	Rare Gases	Form and Instruction	New
202419	Construction Sand and Gravel and Crushed and Broken Stone (State and Local)	Form and Instruction	Unchanged	Crushed and Broken Stone and Construction Sand and Gravel (State and Local)
202419	Construction Sand and Gravel and Crushed and Broken Stone (State and Local)	Form and Instruction	Unchanged
202418	Portland and Masonry Cement (State and Local)	Form and Instruction	Unchanged	Portland and Masonry Cement (Annual State and Local)
202418	Portland and Masonry Cement (State and Local)	Form and Instruction	Unchanged
202417	Portland Masonry Cement (State and Local)	Form and Instruction	Unchanged	Portland and Masonry Cement (Monthly - State and Local)
202417	Portland Masonry Cement (State and Local)	Form and Instruction	Unchanged
202414	Construction Sand and Gravel Crushed and Broken Stone	Form and Instruction	Unchanged	Crushed and Broken Stone and Construction Sand and Gravel
202414	Construction Sand and Gravel Crushed and Broken Stone	Form and Instruction	Unchanged
202413	Fertilizer Minerals	Form and Instruction	Unchanged	Fertilizer Materials
202413	Fertilizer Minerals	Form and Instruction	Unchanged
185377	Production of Natural Zeolites	Form	Unchanged	Production of Natural Zeolites
185377	Production of Natural Zeolites	Form	Unchanged
179329	Synthetic Graphite	Form	Unchanged	Synthetic Graphite
179329	Synthetic Graphite	Form	Unchanged
179328	Portland and Masonry Cement	Form and Instruction	Unchanged	Portland and Masonry Cement
179328	Portland and Masonry Cement	Form and Instruction	Unchanged
179327	Portland, Blended, and Masonry Cement	Form	Unchanged	Portland, Blended, and Masonry Cement
179327	Portland, Blended, and Masonry Cement	Form	Unchanged
179325	Diatomite	Form	Unchanged	Diatomite
179325	Diatomite	Form	Unchanged
179324	Phosphate Rock and Phosphoric Acid	Form and Instruction	Unchanged	Phosphate Rock and Phosphoric Acid
179324	Phosphate Rock and Phosphoric Acid	Form and Instruction	Unchanged
179323	Metallic Abrasives	Form	Unchanged	Metallic Abrasives
179323	Metallic Abrasives	Form	Unchanged
179322	Feldspar	Form	Unchanged	Feldspar
179322	Feldspar	Form	Unchanged
179321	Gypsum (Six Month Report)	Form and Instruction	Unchanged	Gypsum (Six Month Report)
179321	Gypsum (Six Month Report)	Form and Instruction	Unchanged
179320	Marketable Phosphate Rock	Form and Instruction	Unchanged	Marketable Phosphate Rock
179320	Marketable Phosphate Rock	Form and Instruction	Unchanged
179319	Elemental Sulfur	Form	Unchanged	Elemental Sulfur (purity of 97% or better)
179319	Elemental Sulfur	Form	Unchanged
179315	Natural and Synthetic Gem Material (Private Sector)	Form	Unchanged	Natural and Synthetic Gem Material
179315	Natural and Synthetic Gem Material (Private Sector)	Form	Unchanged
179314	Sulfur and Sulfuric Acid	Form and Instruction	Unchanged	Sulfur and Sulfuric Acid
179314	Sulfur and Sulfuric Acid	Form and Instruction	Unchanged
179299	Peat	Form	Unchanged	Peat
179299	Peat	Form	Unchanged
179298	Expanded Perlite	Form and Instruction	Unchanged	Expanded Perlite
179298	Expanded Perlite	Form and Instruction	Unchanged
179297	Crude Perlite	Form	Unchanged	Crude Perlite
179297	Crude Perlite	Form	Unchanged
179296	Crude Iodine	Form	Unchanged	Crude Iodine
179296	Crude Iodine	Form	Unchanged
179294	Natural Graphite Consumption	Form and Instruction	Unchanged	Natural Graphite Consumption
179294	Natural Graphite Consumption	Form and Instruction	Unchanged
179292	Talc, Soapstone, and Pyrophyllite	Form	Unchanged	Talc, Soapstone, and Pyrophyllite
179292	Talc, Soapstone, and Pyrophyllite	Form	Unchanged
179289	Crude Mica	Form and Instruction	Unchanged	Crude Mica
179289	Crude Mica	Form and Instruction	Unchanged
179287	Ground Mica (Including Sericite)	Form	Unchanged	Ground Mica (Including Sericite)
179287	Ground Mica (Including Sericite)	Form	Unchanged
179286	Ball Clay and Kaolin	Form	Unchanged	Ball Clay and Kaolin
179286	Ball Clay and Kaolin	Form	Unchanged
179285	Bentonite and Fuller's Earth	Form	Unchanged	Bentonite and Fuller's Earth
179285	Bentonite and Fuller's Earth	Form	Unchanged
179283	Common Clay and Shale and Fire Clay	Form	Unchanged	Common Clay and Shale and Fire Clay
179283	Common Clay and Shale and Fire Clay	Form	Unchanged
179282	Quartz Crystal	Form	Unchanged	Quartz Crystal
179282	Quartz Crystal	Form	Unchanged
179280	Salt Plant Report	Form and Instruction	Unchanged	Salt Plant Report
179280	Salt Plant Report	Form and Instruction	Unchanged
179279	Salt Company Report	Form and Instruction	Unchanged	Salt Company Report
179279	Salt Company Report	Form and Instruction	Unchanged
179278	Barite	Form	Unchanged	Barite
179278	Barite	Form	Unchanged
179277	Industrial Sand and Gravel - Sold or Used	Form	Unchanged	Industrial Sand and Gravel - Sold or Used
179277	Industrial Sand and Gravel - Sold or Used	Form	Unchanged
179274	Dimension Stone (Including Slate)	Form	Unchanged	Dimension Stone (Including Slate)
179274	Dimension Stone (Including Slate)	Form	Unchanged
179267	Stone - Crushed and Broken (State/local govt)	Form	Unchanged	Stone - Crushed and Broken
179267	Stone - Crushed and Broken (State/local govt)	Form	Unchanged
179262	Construction Sand and Gravel - Sold or Used (State & Local Govt)	Form	Unchanged	Construction Sand and Gravel - Sold or Used
179262	Construction Sand and Gravel - Sold or Used (State & Local Govt)	Form	Unchanged
179261	Construction Sand and Gravel - Sold or Used (Private Sector)	Form	Unchanged	Construction Sand and Gravel - Sold or Used
179261	Construction Sand and Gravel - Sold or Used (Private Sector)	Form	Unchanged
179260	Stone-Crushed and Broken (Private Sector)	Form	Unchanged	Stone - Crushed and Broken
179260	Stone-Crushed and Broken (Private Sector)	Form	Unchanged
179259	Gypsum	Form and Instruction	Unchanged	Gypsum
179259	Gypsum	Form and Instruction	Unchanged
179258	Exfoliated Vermiculite	Form and Instruction	Unchanged	Exfoliated Vermiculate
179258	Exfoliated Vermiculite	Form and Instruction	Unchanged
179257	Pumice and Pumicite (including Volcanic Ash)	Form and Instruction	Unchanged	Pumice and Pumicite [Including Volcanic Ash]
179257	Pumice and Pumicite (including Volcanic Ash)	Form and Instruction	Unchanged
11221	Lime	Form	Unchanged	Lime
11221	Lime	Form	Unchanged

ICR Details

OMB Control No: 1028-0062	ICR Reference No: 202302-1028-002
Status: Active	Previous ICR Reference No: 202103-1028-001
Agency/Subagency: DOI/GS	Agency Tracking No: Steven Stoller
Title: Industrial Minerals Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/22/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/05/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	36 Months From Approved	02/28/2026
Responses	17,073	0	17,053
Time Burden (Hours)	11,737	0	11,727
Cost Burden (Dollars)	0	0	0

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Abstract: Industries that produce and consume industrial minerals use the 40 forms to report production, consumption, stocks, and receipts of industrial mineral commodities (including phosphate rock, sulfur, cement, stone, sand and gravel, etc.). We compile these data into tables, which are published monthly, quarterly, semiannually, and annually. The data collected is used for military and civilian planning, and Federal policy and economic decisions related to the commodities covered.

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Authorizing Statute(s): US Code: 50 USC 2061 et seq. Name of Law: Defense Production Act
   US Code: 30 USC 21 (a) Name of Law: National Mining and Minerals Policy Act of 1970
   US Code: 30 USC 1601 et seq. Name of Law: National Materials and Minerals Policy, Research and Development Act of 1980
   US Code: 50 USC 98 et seq. Name of Law: Strategic and Critical Materials Stock Piling Act
  

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:
	88 FR 13458	03/03/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 36611	06/05/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 44

table that charts list of burden

IC Title	Form No.	Form Name
Ball Clay and Kaolin	9-4017-A	Ball Clay and Kaolin
Barite	9-4011-A	Barite
Bentonite and Fuller's Earth	9-4016-A	Bentonite and Fuller's Earth
Common Clay and Shale and Fire Clay	9-4015-A	Common Clay and Shale and Fire Clay
Construction Sand and Gravel - Sold or Used (Private Sector)	9-4008-A	Construction Sand and Gravel - Sold or Used
Construction Sand and Gravel - Sold or Used (State & Local Govt)	9-4008-A	Construction Sand and Gravel - Sold or Used
Construction Sand and Gravel Crushed and Broken Stone	9-4142-Q	Crushed and Broken Stone and Construction Sand and Gravel
Construction Sand and Gravel and Crushed and Broken Stone (State and Local)	9-4142-Q	Crushed and Broken Stone and Construction Sand and Gravel (State and Local)
Crude Iodine	9-4023-A	Crude Iodine
Crude Mica	9-4020-A	Crude Mica
Crude Perlite	9-4024-A	Crude Perlite
Diatomite	9-4036-A	Diatomite
Dimension Stone (Including Slate)	9-4009-A	Dimension Stone (Including Slate)
Elemental Sulfur	9-4029-M	Elemental Sulfur (purity of 97% or better)
Exfoliated Vermiculite	9-4005-A	Exfoliated Vermiculate
Expanded Perlite	9-4025-A	Expanded Perlite
Feldspar	9-4032-A	Feldspar
Fertilizer Minerals	9-4144-S	Fertilizer Materials
Ground Mica (Including Sericite)	9-4018-A	Ground Mica (Including Sericite)
Gypsum	9-4006-A	Gypsum
Gypsum (Six Month Report)	9-4031-S	Gypsum (Six Month Report)
Industrial Sand and Gravel - Sold or Used	9-4010-A	Industrial Sand and Gravel - Sold or Used
Lime	9-4001-A	Lime
Marketable Phosphate Rock	9-4030-M	Marketable Phosphate Rock
Metallic Abrasives	9-4033-Q	Metallic Abrasives
Natural Graphite Consumption	9-4022-A	Natural Graphite Consumption
Natural and Synthetic Gem Material (Private Sector)	9-4028-A	Natural and Synthetic Gem Material
Peat	9-4026-A	Peat
Phosphate Rock and Phosphoric Acid	9-4035-S	Phosphate Rock and Phosphoric Acid
Portland Masonry Cement (State and Local)	9-4039-M	Portland and Masonry Cement (Monthly - State and Local)
Portland and Masonry Cement	9-4041-A	Portland and Masonry Cement
Portland and Masonry Cement (State and Local)	9-4041-A	Portland and Masonry Cement (Annual State and Local)
Portland, Blended, and Masonry Cement	9-4039-M	Portland, Blended, and Masonry Cement
Production of Natural Zeolites	9-4115-A	Production of Natural Zeolites
Pumice and Pumicite (including Volcanic Ash)	9-4004-A	Pumice and Pumicite [Including Volcanic Ash]
Quartz Crystal	9-4014-A	Quartz Crystal
Rare Gases	9-4146-A	Rare Gases Sold or Used
Salt Company Report	9-4012-A	Salt Company Report
Salt Plant Report	9-4013-A	Salt Plant Report
Stone - Crushed and Broken (State/local govt)	9-4007-A	Stone - Crushed and Broken
Stone-Crushed and Broken (Private Sector)	9-4007-A	Stone - Crushed and Broken
Sulfur and Sulfuric Acid	9-4027-A	Sulfur and Sulfuric Acid
Synthetic Graphite	9-4112-A	Synthetic Graphite
Talc, Soapstone, and Pyrophyllite	9-4021-A	Talc, Soapstone, and Pyrophyllite

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	17,073	17,053	0	20	0	0
Annual Time Burden (Hours)	11,737	11,727	0	10	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 early revision request is seeking to add a form for Rare Gases Sold or Used.

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Annual Cost to Federal Government: $2,555,177

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 06/05/2023

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