Technology Partnerships Ombudsmen Reporting Requirements

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
30-Day FRN - Technology Transfer Information Collection - Published.pdf	Supplementary Document	Uploaded 2025-07-17	Repair queued
30-Day FRN - Technology Transfer Information Collection - Published.pdf	Supplementary Document	Uploaded 2025-07-17	Repair queued
60-Day FRN - Technology Transfer Information Collection - Published.pdf	Supplementary Document	Uploaded 2025-07-17	Repair queued
60-Day FRN - Technology Transfer Information Collection - Published.pdf	Supplementary Document	Uploaded 2025-07-17	Repair queued
Tech Transfer Supporting Statement - Final.docx	Supporting Statement A	Uploaded 2025-07-17	Repair queued
Tech Transfer Supporting Statement - Final.docx	Supporting Statement A	Uploaded 2025-07-17	Repair queued
42 USC 7261c.pdf	Supplementary Document	Uploaded 2025-07-17	Repair queued
42 USC 7261c.pdf	Supplementary Document	Uploaded 2025-07-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
23444	Technology Partnerships Ombudsmen Reporting Requirements	Other-Email Questionnaire	Modified

ICR Details

OMB Control No: 1910-5118	ICR Reference No: 202506-1910-001
Status: Active	Previous ICR Reference No: 202205-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Harmonick, Phillip
Title: Technology Partnerships Ombudsmen Reporting Requirements
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 without change	Conclusion Date: 02/24/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/23/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2029	36 Months From Approved	02/28/2026
Responses	68	0	68
Time Burden (Hours)	23	0	17
Cost Burden (Dollars)	3,220	0	1,230

---

Abstract: The Technology Transfer Commercialization Act of 2000 requires technology transfer ombudsmen to report quarterly on their use of alternative dispute resolution. This extension ensures that required reports are collected, while maintaining a very low burden on affected parties through the use of e-mail to collect reports.

---

Authorizing Statute(s): PL: Pub.L. 106 - 404 11 Name of Law: Technology Transfer Commercialization Act of 2000
   US Code: 42 USC 7261c Name of Law: Technology Partnerships Ombudsman
  

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:
	90 FR 4731	01/15/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 20648	05/15/2025
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Technology Partnerships Ombudsmen Reporting Requirements

---

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	68	68	0	0	0	0
Annual Time Burden (Hours)	23	17	0	0	6	0
Annual Cost Burden (Dollars)	3,220	1,230	0	0	1,990	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: The estimated burden includes an adjustment of $1,990.05. Over the three years since the previous burden was quantified, the Office of Alternative Dispute Resolution has provided significant training and technical assistance to Ombudsmen to support their provision of ADR services to national laboratories, industry, and the public. As a result of this assistance, as well as the efforts of DOE’s Office of Technology Transitions to prioritize and support the work of the Ombudsmen, the Ombudsmen have significantly increased the volume of ADR services that they provide to their stakeholders. This increased provision of services has resulted in a greater amount of information upon which to report and consequently increased the time dedicated to reporting by the Ombudsmen. Additionally, as the Ombudsmen roles have developed, the compensation of the individuals serving in these capacities has increased.

---

Annual Cost to Federal Government: $2,460

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.     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

---

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: 07/23/2025

---