Xanthan Gum from Austria and China, Inv. No. 731-1202 (Preliminary)

PAPERWORK REDUCTION ACT
USITC IMPORT INJURY INVESTIGATIONS
GENERIC CLEARANCE SUBMISSION
OMB CONTROL NUMBER 3117-0016
This form should only be used if you are submitting a collection of information for approval under the USITC import injury
investigation clearance assigned OMB Control Number 3117-0016. Submit this form, responses to the supplemental questions (if
necessary), the collection instrument, and any additional documentation to: Office of Information and Regulatory Affairs, Office of
Management and Budget, Docket Library, Room 10102, 725 17th Street NW, Washington, D.C. 20503.
If the collection does not satisfy the requirements of the program clearance, you should follow the regular PRA clearance procedures
described in 5 CFR 1320.
Inv. no. & title

Xanthan Gum from Austria and China: Investigation Nos. 731-TA-1202-03 (Preliminary)

Agency contact (person who can best answer questions about the content of the submission)
Name

Cynthia Trainor

Phone

202-205-3354

E-mail

cynthia.trainor@usitc.gov

Burden hour estimates of the actual burden imposed (i.e., the
number of completed questionnaires EXPECTED to be returned
and the hours per response for a firm to (1) review instructions,
(2) search data sources, and (3) complete and review its
questionnaire response). Do NOT include anticipated certifications
of non-applicability here.
Number of
questionnaires
to be
mailed

Hours
per
response
(2)

Number of
responses
(1)

Cost
per
hour
(3)

Total
burden
hours
(1) x (2)

Cost per
response
(2) x (3)

Cumulative
burden
hours1

Type

USITC
number1

Producer questionnaire

12-1-3051

3

40

120

0

59,735

Importer questionnaire

12-2-3052

34

30

1,020

0

60,755

Purchaser questionnaire

12-3-

0

0

60,755

Foreign producer
questionnaire

12-4-3053

160

0

60,915

Notice of institution

12-5-

0

0

60,915

Other questionnaire
___________________

11-

0

0

60,915

1,300

??

60,915

Aggregate burden
1

8

20

0

??

Obtain from the Statistical Services Division.

Certification: The collections of information requested by this submission meet the requirement of the OMB approval for OMB
Control Number 3117-0016.
/s/ Catherine DeFilippo
Signature of Program Official

Date

/s/ Catherine DeFilippo
Signature of USITC Paperwork Clearance Officer

Date

Signature of OIRA Official

Date

Date submitted to OMB

June 7, 2012

Date approval received

Instructions for Submission under USITC Import Injury Investigation Clearance.
1.

Consult with the USITC Paperwork Clearance Officer to confirm that your survey meets the conditions for
submission under this clearance.

2.

If this collection or its subsequent analysis will employ statistical methods, complete Part B of the Supporting
Statement for the Form 83-I.

3.

Complete the cover sheet electronically and then print an sign it. As you enter data (or amend existing data) in
columns 1 (number of responses), 2 (hours per response), and 3 (cost per hour), the form will automatically
calculate the total burden hours, cost per response, and appropriate totals/averages. If you have no producer
questionnaires, no importer questionnaires, no purchaser questionnaires, or no foreign producer questionnaires,
please delete the hours per response value associated with the questionnaire(s) that you have no responses for. In
other words, if you have no foreign producer questionnaires, delete the “20" in the hours per response column.
The USITC Paperwork Clearance Officer will fill in the line marked “Cumulative Burden Hours under Program
Clearance.” Note: OMB will call the person listed as the Agency Contact to ask any questions about the survey.

4.

Give the cover sheet, the answers to Part B (if appropriate), a copy of the survey, and any other helpful
information to the USITC Paperwork Clearance Officer, who will review the materials, sign the cover sheet, and
send the package to OIRA. You will be notified when the survey is approved under OMB Control Number 31170016. Do not conduct the survey until you receive this approval.