USAID/Haiti Departure Planning Information Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement - USAID_Haiti Departure Planning Information Collection.docx	Supporting Statement A	Uploaded 2024-11-29	Available
Supporting Statement - USAID_Haiti Departure Planning Information Collection.docx	Supporting Statement A	Uploaded 2024-11-29	Available
Emergency Processing Justification Letter to OMB - USAID_Haiti Departure Planning Information Collection ts signed.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2024-11-27	Repair queued
Emergency Processing Justification Letter to OMB - USAID_Haiti Departure Planning Information Collection ts signed.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2024-11-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
272703	USAID/Haiti Departure Planning Information Collection		New

ICR Details

OMB Control No: 0412-0634	ICR Reference No: 202411-0412-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: AID	Agency Tracking No:
Title: USAID/Haiti Departure Planning Information Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/05/2024
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/04/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/29/2024
Terms of Clearance: OIRA approves the emergency request for a period of six months. Should USAID wish to continue this collection beyond the six month approval period, USAID will publish a 60-day Federal Register notice to begin normal processing under the PRA within 45 days of this approval.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	6 Months From Approved
Responses	97	0	0
Time Burden (Hours)	146	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Agency for International Development (USAID) respectfully requests expedited emergency approval to conduct an information collection of implementing partners (IPs) in Haiti to support USAID’s forward planning for potential departure actions in light of the current security situation in Port-au-Prince. This information is needed on an urgent basis to allow both USAID/Haiti and the U.S. Embassy in Haiti to be prepared to take action.

Emergency Justfication: The U.S. Agency for International Development (USAID) respectfully requests expedited emergency approval to conduct an information collection of implementing partners (IPs) in Haiti to support USAID’s forward planning for potential departure actions in light of the current security situation in Port-au-Prince. This information is needed on an urgent basis to allow both USAID/Haiti and the U.S. Embassy in Haiti to be prepared to take action. This is requested in accordance with 5 C.F.R. § 1320.13(a)(1).

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Authorizing Statute(s): None

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
USAID/Haiti Departure Planning Information Collection

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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	97	0	0	97	0	0
Annual Time Burden (Hours)	146	0	0	146	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: New Collection

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Annual Cost to Federal Government: $0

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.     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: 11/29/2024

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