Existing collection in use without an OMB Control Number
No
Emergency
01/19/2022
01/14/2022
Requested
Previously Approved
6 Months From Approved
25
0
6
0
0
0
The Volunteer Service Agreement Form
is currently used by the FCC to identify individuals seeking to
participate in a volunteer service program administered by the
agency and determine their eligibility for such service. In
addition, the form is being revised to now require individuals
seeking volunteer positions to certify that they comply with
COVID-19 vaccine requirements for Federal workers as set forth by
Executive Order 14043 and other mandates.
The Federal
Communications Commission (Commission or FCC) requests Office of
Management and Budget (OMB) approval to submit the information
collection described herein under the “emergency processing”
provisions of the Paperwork Reduction Act (PRA) of 1995, 5 CFR
1320.13. The Commission is requesting clearance for a new
information collection entitled [3060-XXXX], Volunteer Service
Agreement, FCC Form A-384. For the reasons explained below, We
respectfully request OMB approval for this new information
collection at the earliest possible time. To ensure compliance with
this mandate, the FCC is requiring all employees to complete and
submit a form attesting to their current vaccination status. For
volunteer workers, the FCC is choosing to require applicants to
certify as to their vaccination status when applying for a position
as part of the agency’s existing Volunteer Service Agreement form.
However, the FCC is required to obtain OMB approval prior to
collecting such information. Moreover, the FCC recently discovered
that although its Volunteer Service Agreement form has been used to
collect basic identifying information about volunteer applicants
for approximately a decade, PRA approval was never sought for the
use of this form. Emergency processing is being sought so that the
FCC can continue to process volunteer service requests while it
seeks approval for use of the existing portion of the form without
a lengthy disruption.
EO: EO
14043 Name/Subject of EO: Protecting the Federal Workforce and
Requiring Mask-Wearing
US Code: 5 USC
3111 Name of Law: Acceptance of Volunteer Service
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:
(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;
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.