Human Rights Violators List

Forms and Documents

Document Name	Status
Form DS-5090e Human Rights Violators List Form	New
VIOLFR.doc Draft Federal Register Notice	2006-08-17
Legal Authorities-HRVL (Final).doc Supplementary Document	2006-08-17
Support Statement - HRVL.doc Supporting Statement A	2006-08-15
JUSTIFICATION FOR EMERGENCY REVIEW--HRVL (Rev).doc Supplementary Document	2006-08-15

IC Document Collections

IC ID	Document Title	Status
44651	Human Rights Violators List Form	New

ICR Details

OMB Control No: 1405-0175	ICR Reference No: 200608-1405-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Human Rights Violators List
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: 08/18/2006
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/18/2006
	Date Received in OIRA: 08/17/2006
Terms of Clearance: Prior to next submission, State agrees to discuss increasing confidentiality protections so as to increase response rates. State will also examine whether the phrase "act of repudiation" is commonly understood, in English and Spansish, by expected respondents.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2007	6 Months From Approved
Responses	7,300	0	0
Time Burden (Hours)	1,825	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: In keeping with the recommendations of the Commission for Assistance to a Free Cuba report, the State Department will seek information from the public about human rights abuses committed by Cuban authorities, including the military and members of the security forces. Compiling this information is designed to send a message to the Cuban government authorities, including the military and the security forces, that they should not participate in the repression of Cuban citizens.

Emergency Justfication: In keeping with the recommendations of the Commission for Assistance to a Free Cuba report, the State Department will seek information from the public about human rights abuses committed by Cuban authorities, including the military and members of the security forces. Compiling this information is designed to send a message to the Cuban government authorities, including the military and the security forces, that they should not participate in the repression of Cuban citizens.

---

Authorizing Statute(s): US Code: 22 USC 2656 Name of Law: Management of Foreign Affairs
   US Code: 22 USC 2304(a)(1) Name of Law: Human Rights and Security Assistance
  

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

Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Human Rights Violators List	DS-5090e	Human Rights Abuse Report Form

---

ICR Summary 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	7,300	0	0	7,300	0	0
Annual Time Burden (Hours)	1,825	0	0	1,825	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: This is a new collection that did not have a previous burden figure

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 08/17/2006

---