Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ATUS Stakeholder Survey	Form	New	Repair queued
PPI Data User Survey	Form	New	Repair queued
BLS Website Customer Satisfaction Survey	Form and Instruction	New	Repair queued
Administration 2	Form and Instruction	New	Repair queued
Administration 1	Form and Instruction	New	Repair queued
Form ORS Stakeholder Su ORS Stakeholder Survey	Form	New	Repair queued
ORS Stakeholder Survey 2024 Email Invitation	Form	New	Repair queued
Form Not Available OFCCP Public Intake Form	Form and Instruction	New	Repair queued
Form Not Available OFCCP Ombuds Referral Form	Form and Instruction	New	Repair queued
Form Not Available OFCCP Ombuds Evaluation Form	Form and Instruction	New	Repair queued
Form Not Available OFCCP LMS Contractor Compliance Institute Form	Form and Instruction	New	Repair queued
Form Not Available OFCCP Event Evaluation Form	Form and Instruction	New	Repair queued
Form Not Available OFCCP Event Comment Card	Form and Instruction	New	Repair queued
Form Not Available OFCCP Digital Engagement Subscriber Questions Form	Form and Instruction	New	Repair queued
Form Not Available WCMBP Survey CSAT with Link	Form and Instruction	Modified	Available
Form Not Available OWCP phone survey script and questions	Form and Instruction	Modified	Available
Form Not Available Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Form and Instruction	Unchanged	Repair queued
Form Not Available Written Compliance Assistance Tool Evaluation Form	Form	Unchanged	Available
Form Not Available Event Evaluation Form	Form	Unchanged	Available
Form Not Available Event Evaluation and Written Compliance Assistance Tool Evaluation Forms	Form	Unchanged	Repair queued
Beta test invitation	Form and Instruction	Removed	Available
BETA Test Feedback Form ITA 3.0	Form and Instruction	Removed	Available
Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction	Unchanged	Repair queued
OPT Stakeholder Survey 2023_OSMR	Form and Instruction	Removed	Available
Office of Productivity Stakeholder Survey	Form and Instruction	Unchanged	Repair queued
CAPE Youth Survey	Form and Instruction	Removed	Available
CAPE-Y Youth Interview	Form and Instruction	Removed	Available
CAPE-Y WG Members Survey	Form and Instruction	Removed	Available
CAPE-Y WG Members Interview	Form and Instruction	Removed	Available
CAPE-Y CSG	Form and Instruction	Removed	Available
CAPE Youth Customer Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Employment Projections Program Stakeholder Outreach	Form	Removed	Available
Employment Projections Program Stakeholder Outreach	Form	Unchanged	Repair queued
OEWS Stakeholder Survey Instrument	Form	Removed	Available
Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS)	Form	Unchanged	Repair queued
Form ODEP Form 1 Workforce Recruitment Program (WRP) Customer Satisfaction Survey	Form	Removed	Available
Form ODEP Form 1 Workforce Recruitment Program (WRP) Customer Satisfaction Survey	Form	Unchanged	Repair queued
Job Corps Admissions Customer Service Survey	Form and Instruction	Removed	Available
Job Corps Admissions Customer Service Survey	Form and Instruction	Unchanged	Repair queued
EBSA HBEC Customer Satisfaction Survey	Form and Instruction	Unchanged	Available
EBSA HBEC Customer Satisfaction Survey	Form and Instruction	Unchanged	Available
EBSA Fiduciary Education Seminar Customer Satisfaction Survey	Form and Instruction	Unchanged	Available
EBSA Fiduciary Education Seminar Customer Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Form Field Test 1 Field Test - SHP Step-by-Step Guide - Feedback Questions	Form and Instruction	Unchanged	Available
Form Field Test 1 Field Test for Safety and Health Programs	Form and Instruction	Unchanged	Repair queued
Form NLSY26 NLS Listening Sessions Protocol Mental Health	Form and Instruction	Removed	Available
Form NLSY26 NLS Listening Sessions Protocol International Surveys	Form and Instruction	Removed	Available
Form NLSY26 NLS Listening Sessions Protocol Health Environment	Form and Instruction	Removed	Available
Form NLSY26 NLS Listening Sessions Protocol Child & Family	Form and Instruction	Removed	Available
Form NLSY26 NLS Listening Sessions Protocol 6 Think Tanks	Form and Instruction	Removed	Available
Form NLSY26 National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Unchanged	Repair queued
JOLTS Customer Service Survey	Form and Instruction	Removed	Available
JOLTS User Survey	Form and Instruction	Unchanged	Repair queued
Form NLSY26 Needs Assessment User Outreach Survey	Form and Instruction	Removed	Available
Form NLSY26 NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey	Form and Instruction	Unchanged	Repair queued
Form NLSY26 NLSY26 Needs Assessment Listening Session	Form and Instruction	Removed	Available
Form NLSY26 National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups	Form and Instruction	Unchanged	Repair queued
OPT Stakeholder Outreach Survey	Form and Instruction	Removed	Available
OPT Stakeholder Outreach Survey	Form and Instruction	Unchanged	Repair queued
OPUBSS Feedback Survey	Form and Instruction	Removed	Available
OPUBSS Feedback Survey	Form and Instruction	Unchanged	Repair queued
CE External Stakeholder Survey	Form	Removed	Available
2021 Consumer Expenditure Surveys (CE)	Form	Unchanged	Repair queued
TAP Partner Survey	Form and Instruction	Unchanged	Available
VETS TAP Partner Survey	Form and Instruction	Unchanged	Repair queued
TAP Navigator Survey	Form and Instruction	Unchanged	Available
VETS TAP Navigator Survey	Form and Instruction	Unchanged	Repair queued
Ombuds Service Referral Form	Form and Instruction	Removed	Available
Ombuds Service Evaluation Form	Form and Instruction	Removed	Available
OFCCP Ombuds Referral Form and Satisfaction Survey	Form and Instruction	Unchanged	Available
Generic Clearance Submission Template (1225-0088) nmh.docx	Supplementary Document	Uploaded 2023-12-01	Repair queued
Part B Supporting Statement (OMB Control No. 1225-0088) nmh.docx	Supporting Statement B	Uploaded 2023-12-01	Repair queued
Supporting Statement (OMB Control No. 1225-0088) nmh.docx	Supporting Statement A	Uploaded 2023-12-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
272974	ATUS Stakeholder Survey	Form	New	ATUS Stakeholder Survey
272974	ATUS Stakeholder Survey	Instruction	New
267066	DOL Paperwork Reduction Act Web Page Suggestions	Instruction	New
266616	BLS Producer Price Index (PPI) User Survey	Form	New	PPI Data User Survey
265574	BLS Website Customer Satisfaction Survey	Form and Instruction	New	BLS Website Customer Satisfaction Survey
265111	ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey	Form and Instruction	New	Administration 2
265111	ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey	Form and Instruction	New	Administration 1
264776	ORS Stakeholder Survey 2024	Form	New	ORS Stakeholder Survey
264776	ORS Stakeholder Survey 2024	Form	New	ORS Stakeholder Survey 2024 Email Invitation
264600	OFCCP Online Inquiry Intake Form	Form and Instruction	New	OFCCP Public Intake Form
264599	OFCCP Ombuds Referral Form	Form and Instruction	New	OFCCP Ombuds Referral Form
264598	OFCCP Ombuds Service Evaluation Form	Form and Instruction	New	OFCCP Ombuds Evaluation Form
264597	OFCCP Learning Management System (Contractor Compliance Institute) Account Creation Form	Form and Instruction	New	OFCCP LMS Contractor Compliance Institute Form
264596	OFCCP Event Evaluation Form	Form and Instruction	New	OFCCP Event Evaluation Form
264595	OFCCP Event Comment Card	Form and Instruction	New	OFCCP Event Comment Card
264594	OFCCP Digital Engagement Subscriber Questions	Form and Instruction	New	OFCCP Digital Engagement Subscriber Questions Form
263556	Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Form and Instruction	Modified	WCMBP Survey CSAT with Link
263556	Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Form and Instruction	Modified	OWCP phone survey script and questions
263556	Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Form and Instruction	Unchanged
263169	Event Evaluation and Written Compliance Assistance Tool Evaluation Forms	Form	Unchanged	Written Compliance Assistance Tool Evaluation Form
263169	Event Evaluation and Written Compliance Assistance Tool Evaluation Forms	Form	Unchanged	Event Evaluation Form
263169	Event Evaluation and Written Compliance Assistance Tool Evaluation Forms	Form	Unchanged
261632	Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction	Removed	Beta test invitation
261632	Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction	Removed	BETA Test Feedback Form ITA 3.0
261632	Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction	Unchanged
260811	Office of Productivity Stakeholder Survey	Form and Instruction	Removed	OPT Stakeholder Survey 2023_OSMR
260811	Office of Productivity Stakeholder Survey	Form and Instruction	Unchanged
260349	CAPE Youth Customer Satisfaction Survey	Form and Instruction	Removed	CAPE Youth Survey
260349	CAPE Youth Customer Satisfaction Survey	Form and Instruction	Removed	CAPE-Y Youth Interview
260349	CAPE Youth Customer Satisfaction Survey	Form and Instruction	Removed	CAPE-Y WG Members Survey
260349	CAPE Youth Customer Satisfaction Survey	Form and Instruction	Removed	CAPE-Y WG Members Interview
260349	CAPE Youth Customer Satisfaction Survey	Form and Instruction	Removed	CAPE-Y CSG
260349	CAPE Youth Customer Satisfaction Survey	Form and Instruction	Unchanged
259373	Employment Projections Program Stakeholder Outreach	Form	Removed	Employment Projections Program Stakeholder Outreach
259373	Employment Projections Program Stakeholder Outreach	Form	Unchanged
259166	Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS)	Form	Removed	OEWS Stakeholder Survey Instrument
259166	Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS)	Form	Unchanged
259052	Workforce Recruitment Program (WRP) Customer Satisfaction Survey	Form	Removed	Workforce Recruitment Program (WRP) Customer Satisfaction Survey
259052	Workforce Recruitment Program (WRP) Customer Satisfaction Survey	Form	Unchanged
255720	Job Corps Admissions Customer Service Survey	Form and Instruction	Removed	Job Corps Admissions Customer Service Survey
255720	Job Corps Admissions Customer Service Survey	Form and Instruction	Unchanged
254591	EBSA HBEC Customer Satisfaction Survey	Form and Instruction	Unchanged	EBSA HBEC Customer Satisfaction Survey
254591	EBSA HBEC Customer Satisfaction Survey	Form and Instruction	Unchanged
254584	EBSA Fiduciary Education Seminar Customer Satisfaction Survey	Form and Instruction	Unchanged	EBSA Fiduciary Education Seminar Customer Satisfaction Survey
254584	EBSA Fiduciary Education Seminar Customer Satisfaction Survey	Form and Instruction	Unchanged
254342	Field Test for Safety and Health Programs	Form and Instruction	Unchanged	Field Test - SHP Step-by-Step Guide - Feedback Questions
254342	Field Test for Safety and Health Programs	Form and Instruction	Unchanged
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Removed	NLS Listening Sessions Protocol Mental Health
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Removed	NLS Listening Sessions Protocol International Surveys
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Removed	NLS Listening Sessions Protocol Health Environment
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Removed	NLS Listening Sessions Protocol Child & Family
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Removed	NLS Listening Sessions Protocol 6 Think Tanks
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	Form and Instruction	Unchanged
252233	JOLTS User Survey	Form and Instruction	Removed	JOLTS Customer Service Survey
252233	JOLTS User Survey	Form and Instruction	Unchanged
251657	NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey	Form and Instruction	Removed	Needs Assessment User Outreach Survey
251657	NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey	Form and Instruction	Unchanged
251623	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups	Form and Instruction	Removed	NLSY26 Needs Assessment Listening Session
251623	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups	Form and Instruction	Unchanged
251401	BLS Small-group discussions on retail and retail-related perspectives	Other-Discussion Questions	Removed
250408	DOL Enforcement Database Survey	Other-Survey Instrument	Modified
249585	OPT Stakeholder Outreach Survey	Form and Instruction	Removed	OPT Stakeholder Outreach Survey
249585	OPT Stakeholder Outreach Survey	Form and Instruction	Unchanged
249470	OPUBSS Feedback Survey	Form and Instruction	Removed	OPUBSS Feedback Survey
249470	OPUBSS Feedback Survey	Form and Instruction	Unchanged
249078	2021 Consumer Expenditure Surveys (CE)	Form	Removed	CE External Stakeholder Survey
249078	2021 Consumer Expenditure Surveys (CE)	Form	Unchanged
249078	2021 Consumer Expenditure Surveys (CE)	Instruction	Removed
248301	VETS TAP Partner Survey	Form and Instruction	Unchanged	TAP Partner Survey
248301	VETS TAP Partner Survey	Form and Instruction	Unchanged
248300	VETS TAP Navigator Survey	Form and Instruction	Unchanged	TAP Navigator Survey
248300	VETS TAP Navigator Survey	Form and Instruction	Unchanged
248016	OFCCP Ombuds Referral Form and Satisfaction Survey	Form and Instruction	Removed	Ombuds Service Referral Form
248016	OFCCP Ombuds Referral Form and Satisfaction Survey	Form and Instruction	Removed	Ombuds Service Evaluation Form
248016	OFCCP Ombuds Referral Form and Satisfaction Survey	Form and Instruction	Unchanged
247112	2021 FedCASIC Post-Workshops Survey	Other-Survey with Instructions	Removed

ICR Details

OMB Control No: 1225-0088	ICR Reference No: 202312-1225-001
Status: Historical Active	Previous ICR Reference No: 202010-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/29/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/01/2023
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved	01/31/2024
Responses	400,000	0	380,000
Time Burden (Hours)	40,000	0	38,000
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to collect customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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 48265	07/26/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 67823	10/02/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 21

table that charts list of burden

IC Title	Form No.	Form Name
2021 Consumer Expenditure Surveys (CE)	NA	CE External Stakeholder Survey
2021 FedCASIC Post-Workshops Survey
ATUS Stakeholder Survey	N/A	ATUS Stakeholder Survey
BLS Producer Price Index (PPI) User Survey	N/A	PPI Data User Survey
BLS Small-group discussions on retail and retail-related perspectives
BLS Website Customer Satisfaction Survey	N/A	BLS Website Customer Satisfaction Survey
CAPE Youth Customer Satisfaction Survey	NA, NA, NA, NA, NA	CAPE-Y CSG ,   CAPE-Y WG Members Interview ,   CAPE-Y WG Members Survey ,   CAPE-Y Youth Interview ,   CAPE Youth Survey
DOL Enforcement Database Survey
DOL Paperwork Reduction Act Web Page Suggestions
EBSA Fiduciary Education Seminar Customer Satisfaction Survey	NA	EBSA Fiduciary Education Seminar Customer Satisfaction Survey
EBSA HBEC Customer Satisfaction Survey	NA	EBSA HBEC Customer Satisfaction Survey
Employment Projections Program Stakeholder Outreach	NA	Employment Projections Program Stakeholder Outreach
Event Evaluation and Written Compliance Assistance Tool Evaluation Forms	Not Available, Not Available	Event Evaluation Form ,   Written Compliance Assistance Tool Evaluation Form
Field Test for Safety and Health Programs	Field Test 1	Field Test - SHP Step-by-Step Guide - Feedback Questions
Injury Tracking Application (ITA) 3.0 Beta Testing	N/A, N/A	BETA Test Feedback Form ITA 3.0 ,   Beta test invitation
JOLTS User Survey	NA	JOLTS Customer Service Survey
Job Corps Admissions Customer Service Survey	NA	Job Corps Admissions Customer Service Survey
NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey	NLSY26	Needs Assessment User Outreach Survey
National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups	NLSY26	NLSY26 Needs Assessment Listening Session
National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	NLSY26, NLSY26, NLSY26, NLSY26, NLSY26	NLS Listening Sessions Protocol 6 Think Tanks ,   NLS Listening Sessions Protocol Child & Family ,   NLS Listening Sessions Protocol Health Environment ,   NLS Listening Sessions Protocol International Surveys ,   NLS Listening Sessions Protocol Mental Health
ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey	N/A, N/A	Administration 1 ,   Administration 2
OFCCP Digital Engagement Subscriber Questions	Not Available	OFCCP Digital Engagement Subscriber Questions Form
OFCCP Event Comment Card	Not Available	OFCCP Event Comment Card
OFCCP Event Evaluation Form	Not Available	OFCCP Event Evaluation Form
OFCCP Learning Management System (Contractor Compliance Institute) Account Creation Form	Not Available	OFCCP LMS Contractor Compliance Institute Form
OFCCP Ombuds Referral Form	Not Available	OFCCP Ombuds Referral Form
OFCCP Ombuds Referral Form and Satisfaction Survey	NA, NA	Ombuds Service Evaluation Form ,   Ombuds Service Referral Form
OFCCP Ombuds Service Evaluation Form	Not Available	OFCCP Ombuds Evaluation Form
OFCCP Online Inquiry Intake Form	Not Available	OFCCP Public Intake Form
OPT Stakeholder Outreach Survey	NA	OPT Stakeholder Outreach Survey
OPUBSS Feedback Survey	NA	OPUBSS Feedback Survey
ORS Stakeholder Survey 2024	ORS Stakeholder Survey, N/A	ORS Stakeholder Survey 2024 Email Invitation ,   ORS Stakeholder Survey
Office of Productivity Stakeholder Survey	NA	OPT Stakeholder Survey 2023_OSMR
Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Not Available, Not Available	OWCP phone survey script and questions ,   WCMBP Survey CSAT with Link
Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS)	NA	OEWS Stakeholder Survey Instrument
VETS TAP Navigator Survey	NA	TAP Navigator Survey
VETS TAP Partner Survey	NA	TAP Partner Survey
Workforce Recruitment Program (WRP) Customer Satisfaction Survey	ODEP Form 1	Workforce Recruitment Program (WRP) Customer Satisfaction Survey

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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	400,000	380,000	0	0	20,000	0
Annual Time Burden (Hours)	40,000	38,000	0	0	2,000	0
Annual Cost Burden (Dollars)	0	0	0	0	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: There was an increase in burden hours from 38,000 to 40,000 due to an increase in respondents, from 380,000 to 400,000 and responses from 380,000 to 400,000. Costs to respondents remained 0.

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Annual Cost to Federal Government: $400,000

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.     No

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.     No

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: 12/01/2023

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