Regulatory Collection Filing

Key Contacts

RCF 201901-2126-003CF · Host ICR 201608-4040-012 · OMB 4040-0010

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0010
Host ICR Reference No.	201608-4040-012
Agency/Subagency	DOT/FMCSA
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2019-01-29
Conclusion Date	2019-02-04
Related Links	OMB 4040-0010 · ICR 201608-4040-012 · Retrieve Notice of Action (NOA)

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Title: Key Contacts

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/04/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/29/2019
Terms of Clearance:

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Description of Agency Usage: Disclosure of applicant organization name, contactâs project role, name, title, organizational affiliation, street address, fax, telephone number, email.

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Authorizing Statute(s): PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance Management Improvement Act of 1999 PL: Pub.L. 109 - 282 2590 Name of Law: Federal Funding Accountability and Transparency Act of 2006

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Annual Cost to Federal Government: $8,341
Agency Contact: Thomas Martin 202 366-8768

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Key Contacts		165	165	0	Form	4040-0010	Key Contacts

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	165	165
Annual Time Burden (Hours)	165	165
Annual Cost Burden (Dollars)	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: FMCSA is requesting use of this form for the first time therefore this is a burden increase.