Information Collection Request

License for the Use of Personally Identifiable Information Protected Under the E-Government Act of 2002, Title V and the Privacy Act of 1974

ICR 202402-2528-001 · OMB 2528-0297 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30-day Notice Data License.pdf Supplementary Document Uploaded 2024-07-23 Repair queued
Final - 2528-0297_Supporting Statement PartA.docx Supporting Statement A Uploaded 2024-07-17 Repair queued
60-Day Notice License for the Use of Personally Identifiable Information Protected Under the E-Government Act of 2002, Title V and the Privacy Act of 1974.pdf Supplementary Document Uploaded 2024-05-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
269485 Data Destruction Certification Form Other-Data Destruction Certification Form New
269484 Affidavit of Nondisclosure Other-Affidavit of Nondisclosure New
269483 Data License Agreement Other-Data License Agreement New
269482 Application for Data License Other- Application for Data License New
223754 Recordkeeping Other-Application Removed
223752 Final Reports Other-Application Removed
223751 Annual Reports Other-Application Removed
206961 Applicants Other-Affidavit of Nondisclosure Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
81 0
43 0
0 0





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 81 0 0 -25 0 106
Annual Time Burden (Hours) 43 0 0 -63 0 106
Annual Cost Burden (Dollars) 0 0 0 -4,160 0 4,160


Reginfo record details
  No