Environment, Safety and Health

Forms and Documents

Document Name	Status
NTS Application Form	Removed
Supporting Statement Item 12 Detail.xlsx Supplementary Document	2016-10-05
OMB 1910-0300 Supporting Statement -10_5_2016.doc Supporting Statement A	2016-10-06
2015-12-28_30 Day FRN (Published).pdf Supplementary Document	2016-02-08
2015-10-21_60 Day FRN (Published).pdf Supplementary Document	2016-02-08

IC Document Collections

IC ID	Document Title	Status
23372	Environment, Safety and Health Other-Screenshot	Modified
205930	NTS Application Form	Removed

ICR Details

OMB Control No: 1910-0300	ICR Reference No: 201602-1910-001
Status: Historical Active	Previous ICR Reference No: 201202-1910-003
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Sandy Dentinger (AU)
Title: Environment, Safety and Health
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 with change	Conclusion Date: 10/06/2016
	Date Received in OIRA: 02/08/2016
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	10/31/2019	36 Months From Approved	10/31/2016
Responses	79,634	0	99,693
Time Burden (Hours)	41,733	0	44,860
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): 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
   PL: Pub.L. 95 - 91 101-105 Name of Law: Department of Energy Organization Act of 1977
  

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:
	80 FR 63752	10/21/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 80759	12/28/2015
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
Environment, Safety and Health
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	79,634	99,693	0	0	-20,059	0
Annual Time Burden (Hours)	41,733	44,860	0	0	-3,127	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Due to program changes the number of respondent's is the primary reason for the decrease in burden hours.

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Annual Cost to Federal Government: $2,307,426

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: 02/08/2016

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