Environment, Safety and Health

Forms and Documents

Document Name	Status
Environment, Safety and Health Form	Modified
NTS Application Form	New
OMB 1910-0300 Supporting Statement - 2-26-13 Final.doc Supporting Statement A	2013-02-26
OMB 1910-0300 Detailed Item 12 3-22-12.xlsx Supplementary Document	2012-03-22

IC Document Collections

IC ID	Document Title	Status
23372	Environment, Safety and Health Form	Modified
205930	NTS Application Form	New

ICR Details

OMB Control No: 1910-0300	ICR Reference No: 201202-1910-003
Status: Historical Active	Previous ICR Reference No: 200904-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Felecia Briggs
Title: Environment, Safety and Health
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/08/2013
	Date Received in OIRA: 08/23/2012
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved	03/31/2013
Responses	99,693	0	90,979
Time Burden (Hours)	44,860	0	69,560
Cost Burden (Dollars)	0	0	0

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Abstract: This package contains information collections that are used by Departmental management to exercise management oversight and control over Management and Operating (M&O) contractors of DOE’s Government-Owned Contractor-Operated (GOCO) facilities, and offsite contractors. The contractor management oversight and control function concerns the ways in which DOE contractors provide goods and services for DOE organizations and activities in accordance with the terms of their contract; the applicable statutory, regulatory and mission support requirements of the Department; and regulations in the functional area covered by this package.

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Authorizing Statute(s): PL: Pub.L. 95 - 91 101-105 Name of Law: Department of Energy Organization Act of 1977
   US Code: 42 USC 7254 Name of Law: Public Health and Welfare
   US Code: 42 USC 7256(a) Name of Law: Public Health and Welfare
  

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:
	77 FR 84	05/01/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 143	07/25/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Environment, Safety and Health	NA, NA, NA, NA, NA, NA	Annual Fire Protection Summary Application ,   Lessons Learned System ,   Occurrence Reporting and Processing System (ORPS) ,   Radiation Exposure Monitoring System ,   Computerized Accident Incident Reporting System (CAIRS) ,   Safety Basis Information System (SBIS)
NTS Application	NA	Noncompliance Tracking System

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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	99,693	90,979	0	109	8,605	0
Annual Time Burden (Hours)	44,860	69,560	0	1,064	-25,764	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: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: •Accident Investigation System – This system contains reports for federally-led accident investigations (AI) conducted under DOE Order 225.1B, "Accident Investigations". These investigations are required to be conducted for the more serious accidents, such as a fatality or multiple persons injured. The AI program is managed by the Office of Health, Safety and Security and supports other DOE/NNSA program organizations in implementing the requirements of DOE Order 225.1B. •Corrective Action Management Program (CAMP) – The requirements for CAMP was removed on April 25, 2011 with the issuance of the new DOE Quality Assurance Order (DOE O 414.1D). Since CAMP information is no longer being collected, the FY2012 reporting burden hours, respondents and responses are zero.

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Annual Cost to Federal Government: $2,417,051

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]? 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? 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: 08/23/2012

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