Agency Information Collection Activities: Generic Clearance for Formative Data Collections for Evaluations, Research, and Evidence Building

Forms and Documents

Document Name	Status
EO 14168 PRA Guidance Final (003).pdf Supplementary Document	2025-07-18
Narrative of Changes Table 1601-0037.docx Supplementary Document	2025-07-18
OMB Form 83-C 1601-0037.pdf Justification for No Material/Nonsubstantive Change	2025-07-21
30 Day FRN Generic Clearance for Pretesting Instruments and Procedures for Evaluation, Research and Evidence Building.pdf Supplementary Document	2023-06-28
EO 13985.pdf Supplementary Document	2023-06-28
Executive Order on Further Advancing Racial Equity and Support for Underserved Communities Through The Federal Government.pdf Supplementary Document	2023-06-27
60 Day FRN 1601-NEW Generic Clearance for Pretesting Instruments and Procedures for Evaluation.pdf Supplementary Document	2023-06-28
FEDERAL EVIDENCE-BUILDING ACTIVITIES.pdf Supplementary Document	2023-06-26
03 Generic Clearance for Formative Data Collections for Evaluation Research and Evidence_A 1601-0037.docx Supporting Statement A	2025-07-18
PLAW-115publ435 (1).pdf Supplementary Document	2023-06-22
Generic Clearance for Formative Data Collections for Evaluation, Research, and Evidence-Building.pdf Supplementary Document	2023-06-16
Generic Clearance for Formative Data Collections for Evaluation, Research, and Evidence-Building.docx Supporting Statement B	2023-06-16

IC Document Collections

IC ID	Document Title	Status
271512	DHS SAFETY Act Applicant Survey Other-Markup	Unchanged

ICR Details

OMB Control No: 1601-0037	ICR Reference No: 202507-1601-002
Status: Received in OIRA	Previous ICR Reference No: 202306-1601-002
Agency/Subagency: DHS/OS	Agency Tracking No: 1601-New
Title: Agency Information Collection Activities: Generic Clearance for Formative Data Collections for Evaluations, Research, and Evidence Building
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/21/2025

	Requested	Previously Approved
Expiration Date	02/28/2027	02/28/2027
Responses	22,750	22,750
Time Burden (Hours)	12,488	12,488
Cost Burden (Dollars)	0	0

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Abstract: The U.S. Department of Homeland Security (DHS) intends to request approval from OMB for a generic clearance to pretest data collection instruments and procedures with more than nine participants to identify and resolve any question or procedural problems in DHS's survey administration. The Generic Clearance for Pre testing Instruments and Procedures for Evaluation, Research, and Evidence-Building is a new information collection request.

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Authorizing Statute(s): EO: EO 14058 Name/Subject of EO: Transforming Federal Customer Experience and Service Delivery to Rebuild Trust in Government
   EO: EO 13985 Name/Subject of EO: Advancing Racial Equity and Support for Underserved Communities Through the Federal Government
  

Citations for New Statutory Requirements: PL: Pub.L. 115 - 435 101 Name of Law: Federal Evidence Building Activities

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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:
	88 FR 17531	03/14/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 38878	06/14/2023
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
DHS SAFETY Act Applicant Survey

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ICR Summary of Burden

	Total Request	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	22,750	22,750	0	0	0	0
Annual Time Burden (Hours)	12,488	12,488	0	0	0	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: No

Burden Reduction Due to:

Short Statement: This a new collection.

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Annual Cost to Federal Government:

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? No

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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: 07/21/2025

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