Executive Branch Qualified Trust Documents (see items 1. and 2. in Supporting Statement for precise titles of all documents)

Forms and Documents

Document Name	Status
2019 OGE Model Trust Supporting Statement.doc Supporting Statement A	2019-12-16

IC Document Collections

IC ID	Document Title	Status
33789	Executive Branch Qualified Trust Documents (see items 1.-2. in Supporting Statement for titles of all documents) Instruction	Modified

ICR Details

OMB Control No: 3209-0007	ICR Reference No: 201909-3209-001
Status: Active	Previous ICR Reference No: 201607-3209-001
Agency/Subagency: OGE	Agency Tracking No: Model Trust
Title: Executive Branch Qualified Trust Documents (see items 1. and 2. in Supporting Statement for precise titles of all documents)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/17/2020
	Date Received in OIRA: 12/16/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	02/29/2020
Responses	10	0	5
Time Burden (Hours)	120	0	0
Cost Burden (Dollars)	36,000	0	1,000,000

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Abstract: Documents are used to set up and maintain trusts under the Ethics in Government Act for incoming and incumbent executive branch officials. Qualified trusts help officials avoid conflicts between their personal holdings and their Government duties.

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Authorizing Statute(s): US Code: 5 USC app. 102(f) Name of Law: Ethics Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3209-AA00	Final or interim final rulemaking	83 FR 33980	07/18/2018

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 50449	09/25/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 67743	12/11/2019
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
Executive Branch Qualified Trust Documents (see items 1.-2. in Supporting Statement for titles of all documents)

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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	10	5	0	0	5	0
Annual Time Burden (Hours)	120	0	0	0	120	0
Annual Cost Burden (Dollars)	36,000	1,000,000	0	0	-964,000	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: $18,000

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.     Yes

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.     Yes

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: 12/16/2019

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