2900-AP83_Ecclesiastical Endorsing Organization

Forms and Documents

Document Name	Status
Form 10-0379 2900-AP83 Ecclesiastical Endorsing Organization Form and Instruction	Unchanged
PRA Justification 2900-AP83_082217.docx Supporting Statement A	2017-08-22

IC Document Collections

IC ID	Document Title	Status
224350	2900-AP83 Ecclesiastical Endorsing Organization Form and Instruction	Unchanged

ICR Details

OMB Control No: 2900-0852	ICR Reference No: 201708-2900-034
Status: Active	Previous ICR Reference No: 201611-2900-007
Agency/Subagency: VA	Agency Tracking No: 2900-0852
Title: 2900-AP83_Ecclesiastical Endorsing Organization
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/31/2018
	Date Received in OIRA: 12/07/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	38	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information is needed to establish that religious organizations that wish to provide ecclesiastical endorsements of individuals who seek employment as a VA chaplain or who seek to be engaged by VA under contract or appointed as on-facility fee basis VA chaplains under 38 U.S.C. 7405 meet eligibility requirements. The authority for this collection is 38 U.S.C. 501(a), 7304, and 7405. The information will be submitted by religious organizations wishing to endorse applicants for VA Chaplaincy. The information is used to establish that requesting organizations meet eligibility requirements. It is also used to ensure that VA accepts ecclesiastical endorsements of members of a religious organization signed only by the official designated by the organization. It is also used to inform job applicants who do not know who their organization has designated as their ecclesiastical endorsing official.

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Authorizing Statute(s): US Code: 38 USC 501(a), 7304, 7405 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AP83	Final or interim final rulemaking	82 FR 215	11/08/2017

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Federal Register Notices & Comments

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
2900-AP83 Ecclesiastical Endorsing Organization	10-0379	ECCLESIASTICAL ENDORSING ORGANIZATION

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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	50	0	0	50	0	0
Annual Time Burden (Hours)	38	0	0	38	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: VA does not project any changes since our last submission.

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Annual Cost to Federal Government: $6,713

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 12/07/2017

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