Human Rights Abuse Reporting Site

Forms and Documents

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

IC Document Collections

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

ICR Details

OMB Control No: 1405-0175	ICR Reference No: 200701-1405-002
Status: Historical Active	Previous ICR Reference No: 200608-1405-002
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Human Rights Abuse Reporting Site
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: 02/21/2007
	Date Received in OIRA: 01/17/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	36 Months From Approved	02/28/2007
Responses	7,300	0	7,300
Time Burden (Hours)	1,825	0	1,825
Cost Burden (Dollars)	0	0	0

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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.

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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

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 201	10/18/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 10	01/17/2007
Did the Agency receive public comments on this ICR? No

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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

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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	7,300	0	0	0	0
Annual Time Burden (Hours)	1,825	1,825	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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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

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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: 01/17/2007

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