Customer Data Worksheet Request for Business Partner Record Change

ICR 201703-0560-001 · OMB 0560-0265 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0560-0265 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form AD-2047 Customer Data Worksheet Request for SCIMS Change	Form	Modified	Available
supporting document 2017.docx	Supporting Statement A	Uploaded 2017-07-06	Available
FSA-85-1-Reporting and Recordkeeping Requirements 2017.doc	Supplementary Document	Uploaded 2017-06-15	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
183739	Customer Data Worksheet Request for SCIMS Change	Form	Modified

ICR Details

OMB Control No: 0560-0265	ICR Reference No: 201703-0560-001
Status: Historical Active	Previous ICR Reference No: 201409-0560-001
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Customer Data Worksheet Request for Business Partner Record Change
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: 10/19/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	56,926	0	51,750
Time Burden (Hours)	9,678	0	8,798
Cost Burden (Dollars)	0	0	0

Abstract: Critical Customer Data is required in order to identify USDA program participants and ensure that benefits are directed to the correct customer and respective Tax Identification Numbers.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 15481	03/29/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 29821	06/30/2017
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Customer Data Worksheet Request for SCIMS Change	AD-2047	CUSTOMER DATA WORKSHEET REQUEST FOR BUSINESS PARTNER RECORD CHANGE

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	56,926	51,750	5,176
Annual Time Burden (Hours)	9,678	8,798	880
Annual Cost Burden (Dollars)	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: The burden hours has increased by 880 hours while the number of responses increase by 5,176. The number of respondents increased by 5,179 to account for additional customers because of new programs that have been implemented since the last OMB approval.

Annual Cost to Federal Government: $246,789

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

Agency Contact: Mary Ann Ball 202-720-4283 [email protected]

Common Form ICR: No