The CFTC makes this self-attest form available to visitors and contractors who access the CFTC headquarters, local and regional office buildings--where events take place, work needs to be performed, and/or agency services are offered.
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask Wearing
$0
Thuy Dinh 202 418-5128 tdinh@cftc.gov
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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
13,200
0
0
13,200
0
0
Annual Time Burden (Hours)
440
0
0
440
0
0
Annual Cost Burden (Dollars)
11,883
0
0
11,883
0
0
Yes
Miscellaneous Actions
No
50 people who come daily to the agency buildings x 260 working days per year = 13,000 annually.
4 onsite events annually, with 50 attendees at each event = 200.
Total annual ## of onsite respondents = 13,200
Time burden per response/respondent = 2 minutes
Total annual time burden: 13,200 x 2 minutes = 26,400 minutes = 440 hours