NOAA Diving Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NF 57-03-54 Report of Medical History - Annual Update	Form and Instruction	New	Repair queued
Form NF 57-03-52 Report of Physical Examination - Diver	Form and Instruction	New	Repair queued
Form NF 57-03-41 Diving Activity Resume	Form and Instruction	New	Repair queued
Form NF 57-03-39 Initial Swim Test Evaluation	Form and Instruction	New	Repair queued
Form NF 57-03-38 NDP Training Request and Authorization	Form and Instruction	New	Repair queued
Form NF 57-03-11 NOAA Volunteer Diver Service Agreement	Form and Instruction	New	Repair queued
Form NF 57-03-09 Verification of Liability Coverage Liability Release and Assumption of Risk	Form and Instruction	New	Repair queued
Form NF 57-03-07 Verification of Liability Coverage	Form and Instruction	New	Repair queued
0648-DIVE 30-day 88 FR 72430 2023-1020.pdf	Supplementary Document	Uploaded 2023-10-20	Repair queued
0648-DIVE 60-day 88 FR 56010 2023-0817.pdf	Supplementary Document	Uploaded 2023-09-18	Repair queued
0648-DIVE Supporting Statement Part A.docx	Supporting Statement A	Uploaded 2023-09-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
262251	Report of Medical History - Annual Update	Form and Instruction	New
262250	Report of Physical Examination - Diver	Form and Instruction	New
262249	Diving Activity Resume	Form and Instruction	New
262247	Initial Swim Test Evaluation	Form and Instruction	New
262246	NDP Training Request and Authorization	Form and Instruction	New
262245	NOAA Volunteer Diver Service Agreement	Form and Instruction	New
262244	Verification of Liability Coverage Liability Release and Assumption of Risk	Form and Instruction	New
262233	Verification of Liability Coverage	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202309-0648-005
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOC/NOAA	Agency Tracking No: 0648-DIVE
Title: NOAA Diving Program
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/23/2023

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	483	0
Time Burden (Hours)	221	0
Cost Burden (Dollars)	35,100	0

---

Abstract: This is a request for approval of a collection currently in use without OMB approval. The NOAA Diving Program (NDP) is administered by the U.S. Department of Commerce, National Oceanic and Atmospheric Administration (NOAA), and is headquartered at the NOAA Western Regional Center (WRC) in Seattle, Washington. The NDP provides the guidelines, policy, and training for all NOAA Divers, which includes all NOAA employees who dive, as well as contractors and volunteers, among others, who conduct diving operations. This collection covers the forms that are required to ensure proficiency in order to dive for NOAA.

---

Authorizing Statute(s): None

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:
	88 FR 56010	08/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 72430	10/20/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Diving Activity Resume	NF 57-03-41	Diving Activity Resume
Initial Swim Test Evaluation	NF 57-03-39	Initial Swim Test
NDP Training Request and Authorization	NF 57-03-38	NOAA Diving Program Training Request and Authorization
NOAA Volunteer Diver Service Agreement	NF 57-03-11	NOAA Volunteer Diver Service Agreement
Report of Medical History - Annual Update	NF 57-03-54	Report of Medical History - Annual Update
Report of Physical Examination - Diver	NF 57-03-52	Report of Examination and Medical History - Diver
Verification of Liability Coverage	NF 57-03-07	Verification of Liability Coverage
Verification of Liability Coverage Liability Release and Assumption of Risk	NF 57-03-09	Liability Release and Assumption of Risk

---

ICR Summary of Burden

table that charts list 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	483	0	0	483	0	0
Annual Time Burden (Hours)	221	0	0	221	0	0
Annual Cost Burden (Dollars)	35,100	0	0	35,100	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 a new collection

---

Annual Cost to Federal Government: $8,884

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: 10/23/2023

---