Information Collection Request

Long Term Contracting

ICR 202103-0578-001 · OMB 0578-0013 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form NRCS-LTP-152 hmong DAIM NTAWV POM ZOO HLOOV TSWV Form Modified Available
Form AD-1161 Vietnamese ĐƠN XIN THANH TOÁN Form Modified Available
Form NRCS-LTP-152 Hmong DAIM NTAWV POM ZOO HLOOV TSWV Form Modified Available
Form AD-1155 Vietnamese KẾ HOẠCH BẢO TỒN LỊCH TRÌNH HOẠT ĐỘNG Form Modified Available
Form AD-1155 Hmong Txoj kev npaj kev txuag CIJ QHIB Form Modified Available
Form AD-1155 Spanish PLAN DE CONSERVACIÓN PROGRAMACIÓN DE OPERACIONES Form Modified Available
Form NRCS-LTP-20 Vietna Khế Ước Bảo Đảm về Quyền Sử Dụng Đất đối với Khu Vực Có Nguy Cơ Lụt Lội trong Chương Trình Bảo Vệ các Lưu Vực Nước Khẩn Cấp Form Modified Available
Form NRCS-LTP-20 Spanis Escritura traslativa de dominio de servidumbre del Programa de protección de cuencas por emergencias en llanuras inundables Form Modified Available
Form NRCS-LTP-20 Hmong Daim Ntawv Lav Tso Cai Siv Av Rau Kev Tsim Pas Dej CeevLos Tiv Thaiv Thaj Av Uas Muaj Dej Nyab Form Modified Available
Form NRCS-LTP-70 Vietna ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN Form Modified Available
Form NRCS-LTP-70 Spanis HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN Form Modified Available
Form NRCS-LTP-70 Hmong NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD Form Modified Available
Form NRCS-LTP-80 Hmong NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD Form Modified Available
Form NRCS-LTP-80 Spanis ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN Form Modified Available
Form NRCS-LTP-80 Vietna HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN Form Modified Available
Form NRCS-LTP-152 Spani ACUERDO DE TRANSFERENCIA Form Modified Available
Form NRCS-LTP-152 Vietn HỢP ĐỒNG CHUYỂN NHƯỢNG Form Modified Available
Form NRCS-LTP-153 Vietn THỎA THUẬN VỀ TRƯỜNG HỢP KHÔNG CHẤP HÀNH CÁC ĐIỀU KHOẢN HỢP ĐỒNG Form Modified Available
Form NRCS-LTP-153 Spani ACUERDO QUE CUBRE EL INCUMPLIMIENTO DE DISPOSICIONES DEL CONTRATO Form Modified Available
Form NRCS-LTP-153 Hmong DAIM NTAWV POM ZOO LOS KAV TXOJ KEV UA TSIS RAWS CAI RAU COV TSHOOJ CAI NTAWM DAIM NTAWV COG LUS Form Modified Available
Form NRCS-CPA-260 Vietn Quyền Địa Dịch Bảo Tồn Trong Chương Trình Khu Bảo Tồn Rừng Bền Vững Form Modified Available
Form NRCS-CPA-260 Spani Servidumbre de conservación del programa de reserva de bosques saludables Form Modified Available
Form NRCS-CPA-260 Hmong Txoj kev Pab Txuag Cov hav zoov Liaj Teb Kom Zoo Txog Kev Zam Siv Av Form Modified Available
Form AD-1161 Hmong DAIM NTAWV THOV COV NYIAJ Form Modified Available
Form AD-1161 Spanish SOLICITUD DE PAGO Form Modified Available
Form AD-1160 Vietnamese ỦY QUYỀN SỬ DỤNG THÍCH HỢP Form Modified Available
Form AD-1160 Spanish AUTORIZACIÓN DE USO COMPATIBLE Form Modified Available
Form AD-1160 Hmong LUB LAJ THAWJ TSO CAI SIV Form Modified Available
Form AD-1158 Hmong DAIM NTAWV POM ZOO THIAB KEV TXWV YWV YAM MUAJ NQI NTAWM TUS NEEG TSHUAV NUJ NQI Form Modified Available
Form AD-1158 Spanish ACUERDO DE SUBORDINACIÓN Y DE RENUNCIA DE DERECHO LIMITADA Form Modified Available
Form AD-1158 Vietnamese HỢP ĐỒNG CÔNG TRÌNH PHỤ VÀ VIỆC MIỄN TRỪ TRÁCH NHIỆM GÁN NỢ CÓ GIỚI HẠN Form Modified Available
Form AD-1156 Vietnamese SỬA ĐỔI KẾ HOẠCH HAY LỊCH TRÌNH HOẠT ĐỘNG HAY ĐIỂU CHỈNH HỢP ĐỒNG Form Modified Available
Form AD-1156 Spanish REVISIÓN DEL PLAN O PROGRAMA DE OPERACIONES O MODIFICACIÓN DE UN CONTRATO Form Modified Available
Form AD-1156 Hmong Hom phiaj hloov Los siv ntawv hloov Form Modified Available
Form AD-1154 Vietnamese HỢP ĐỒNG DÀI HẠN Form Modified Available
Form AD-1154 Spanish ACUERDO A LARGO PLAZO Form Modified Available
Form AD-1154 Hmong KEV POM ZOO NTEV NTEV Form Modified Available
Form AD-1153 Vietnamese ĐƠN THAM GIA NHẬN HỖ TRỢ THEO HỢP ĐỐNG DÀI HẠN THÔNG QUA CHƯƠNG TRÌNH Form Modified Available
Form AD-1153 Spanish SOLICITUD DE CONTRATACIÓN A LARGO PLAZO ASISTENCIA EL PROGRAMA Form Modified Available
Form AD-1153 Hmong DAIM NTAWV THOV TXHAWM RAU COV KEV PAB SIJHAWM NTEV LOS NTAWM TXOJ TXOJ HAUJLWM Form Modified Available
Form NRCS-LTP-80 Agreement for the Purchase of Conservation Easement Form Modified Available
Form NRCS-LTP-70 Agreement for the Purchase of Conservation Easement Form Modified Available
Form NRCS-LTP-153 Agreement Covering Non-Compliance with Provisions of Contract Form Modified Available
Form NRCS-LTP-152 Transfer Agreement Form Modified Available
Form NRCS-LTP-151 Notice of Agreement or Contract Violation Form Modified Available
Form NRCS-CPA-260 Healthy Forests Reserve Program Conservation Easement Form Modified Available
Form NRCS-LTP-20 Emergency Watersheds Protection Program Floodplain Warranty Easement Deed Form Modified Available
Form NRCS-LTP-13 Status Review Form Modified Available
Form AD-1155A Conservation Plan Schedule of Operations Form Modified Available
Form AD-1155 Conservation Plan Schedule of Operation Form Modified Available
Form AD-1161 Application for Payment Form Modified Available
Form AD-1160 Compatible Use Authorization Form Modified Available
Form AD-1159 Notice of Intent to Continue Form Modified Available
Form AD-1158 Subordination Agreement and Limited Lien Waiver Form Modified Available
Form AD-1157A Option Agreement to Purchase Amendment 1 Form Modified Available
Form AD-1157 Option Agreement to Purchase Form Modified Available
Form AD-1156 Revision of Plan or Schedule of Operations or Modification of a Contract Form Modified Available
Form AD-1154 Long-Term Agreement Form Modified Available
Form AD-1153 Application for Long-Term Contracted Assistance Through The Program Form Modified Available
Form AD-1153 Long Term Contracting (Individuals) Form Modified Repair queued
2021 OMB Supporting Statement 6-29-21.docx Supporting Statement A Uploaded 2021-06-29 Available
2021 OMB Supporting Statement 6-29-21.docx Supporting Statement A Uploaded 2021-06-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
43534 Long Term Contracting (Individuals) Form ModifiedDAIM NTAWV POM ZOO HLOOV TSWV
43534 Long Term Contracting (Individuals) Form ModifiedĐƠN XIN THANH TOÁN
43534 Long Term Contracting (Individuals) Form ModifiedDAIM NTAWV POM ZOO HLOOV TSWV
43534 Long Term Contracting (Individuals) Form ModifiedKẾ HOẠCH BẢO TỒN LỊCH TRÌNH HOẠT ĐỘNG
43534 Long Term Contracting (Individuals) Form ModifiedTxoj kev npaj kev txuag CIJ QHIB
43534 Long Term Contracting (Individuals) Form ModifiedPLAN DE CONSERVACIÓN PROGRAMACIÓN DE OPERACIONES
43534 Long Term Contracting (Individuals) Form ModifiedKhế Ước Bảo Đảm về Quyền Sử Dụng Đất đối với Khu Vực Có Nguy Cơ Lụt Lội trong Chương Trình Bảo Vệ các Lưu Vực Nước Khẩn Cấp
43534 Long Term Contracting (Individuals) Form ModifiedEscritura traslativa de dominio de servidumbre del Programa de protección de cuencas por emergencias en llanuras inundables
43534 Long Term Contracting (Individuals) Form ModifiedDaim Ntawv Lav Tso Cai Siv Av Rau Kev Tsim Pas Dej CeevLos Tiv Thaiv Thaj Av Uas Muaj Dej Nyab
43534 Long Term Contracting (Individuals) Form ModifiedACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN
43534 Long Term Contracting (Individuals) Form ModifiedHỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN
43534 Long Term Contracting (Individuals) Form ModifiedNTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD
43534 Long Term Contracting (Individuals) Form ModifiedNTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD
43534 Long Term Contracting (Individuals) Form ModifiedACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN
43534 Long Term Contracting (Individuals) Form ModifiedHỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN
43534 Long Term Contracting (Individuals) Form ModifiedACUERDO DE TRANSFERENCIA
43534 Long Term Contracting (Individuals) Form ModifiedHỢP ĐỒNG CHUYỂN NHƯỢNG
43534 Long Term Contracting (Individuals) Form ModifiedTHỎA THUẬN VỀ TRƯỜNG HỢP KHÔNG CHẤP HÀNH CÁC ĐIỀU KHOẢN HỢP ĐỒNG
43534 Long Term Contracting (Individuals) Form ModifiedACUERDO QUE CUBRE EL INCUMPLIMIENTO DE DISPOSICIONES DEL CONTRATO
43534 Long Term Contracting (Individuals) Form ModifiedDAIM NTAWV POM ZOO LOS KAV TXOJ KEV UA TSIS RAWS CAI RAU COV TSHOOJ CAI NTAWM DAIM NTAWV COG LUS
43534 Long Term Contracting (Individuals) Form ModifiedQuyền Địa Dịch Bảo Tồn Trong Chương Trình Khu Bảo Tồn Rừng Bền Vững
43534 Long Term Contracting (Individuals) Form ModifiedServidumbre de conservación del programa de reserva de bosques saludables
43534 Long Term Contracting (Individuals) Form ModifiedTxoj kev Pab Txuag Cov hav zoov Liaj Teb Kom Zoo Txog Kev Zam Siv Av
43534 Long Term Contracting (Individuals) Form ModifiedDAIM NTAWV THOV COV NYIAJ
43534 Long Term Contracting (Individuals) Form ModifiedSOLICITUD DE PAGO
43534 Long Term Contracting (Individuals) Form ModifiedỦY QUYỀN SỬ DỤNG THÍCH HỢP
43534 Long Term Contracting (Individuals) Form ModifiedAUTORIZACIÓN DE USO COMPATIBLE
43534 Long Term Contracting (Individuals) Form ModifiedLUB LAJ THAWJ TSO CAI SIV
43534 Long Term Contracting (Individuals) Form ModifiedDAIM NTAWV POM ZOO THIAB KEV TXWV YWV YAM MUAJ NQI NTAWM TUS NEEG TSHUAV NUJ NQI
43534 Long Term Contracting (Individuals) Form ModifiedACUERDO DE SUBORDINACIÓN Y DE RENUNCIA DE DERECHO LIMITADA
43534 Long Term Contracting (Individuals) Form ModifiedHỢP ĐỒNG CÔNG TRÌNH PHỤ VÀ VIỆC MIỄN TRỪ TRÁCH NHIỆM GÁN NỢ CÓ GIỚI HẠN
43534 Long Term Contracting (Individuals) Form ModifiedSỬA ĐỔI KẾ HOẠCH HAY LỊCH TRÌNH HOẠT ĐỘNG HAY ĐIỂU CHỈNH HỢP ĐỒNG
43534 Long Term Contracting (Individuals) Form ModifiedREVISIÓN DEL PLAN O PROGRAMA DE OPERACIONES O MODIFICACIÓN DE UN CONTRATO
43534 Long Term Contracting (Individuals) Form ModifiedHom phiaj hloov Los siv ntawv hloov
43534 Long Term Contracting (Individuals) Form ModifiedHỢP ĐỒNG DÀI HẠN
43534 Long Term Contracting (Individuals) Form ModifiedACUERDO A LARGO PLAZO
43534 Long Term Contracting (Individuals) Form ModifiedKEV POM ZOO NTEV NTEV
43534 Long Term Contracting (Individuals) Form ModifiedĐƠN THAM GIA NHẬN HỖ TRỢ THEO HỢP ĐỐNG DÀI HẠN THÔNG QUA CHƯƠNG TRÌNH
43534 Long Term Contracting (Individuals) Form ModifiedSOLICITUD DE CONTRATACIÓN A LARGO PLAZO ASISTENCIA EL PROGRAMA
43534 Long Term Contracting (Individuals) Form ModifiedDAIM NTAWV THOV TXHAWM RAU COV KEV PAB SIJHAWM NTEV LOS NTAWM TXOJ TXOJ HAUJLWM
43534 Long Term Contracting (Individuals) Form ModifiedAgreement for the Purchase of Conservation Easement
43534 Long Term Contracting (Individuals) Form ModifiedAgreement for the Purchase of Conservation Easement
43534 Long Term Contracting (Individuals) Form ModifiedAgreement Covering Non-Compliance with Provisions of Contract
43534 Long Term Contracting (Individuals) Form ModifiedTransfer Agreement
43534 Long Term Contracting (Individuals) Form ModifiedNotice of Agreement or Contract Violation
43534 Long Term Contracting (Individuals) Form ModifiedHealthy Forests Reserve Program Conservation Easement
43534 Long Term Contracting (Individuals) Form ModifiedEmergency Watersheds Protection Program Floodplain Warranty Easement Deed
43534 Long Term Contracting (Individuals) Form ModifiedStatus Review
43534 Long Term Contracting (Individuals) Form ModifiedConservation Plan Schedule of Operations
43534 Long Term Contracting (Individuals) Form ModifiedConservation Plan Schedule of Operation
43534 Long Term Contracting (Individuals) Form ModifiedApplication for Payment
43534 Long Term Contracting (Individuals) Form ModifiedCompatible Use Authorization
43534 Long Term Contracting (Individuals) Form ModifiedNotice of Intent to Continue
43534 Long Term Contracting (Individuals) Form ModifiedSubordination Agreement and Limited Lien Waiver
43534 Long Term Contracting (Individuals) Form ModifiedOption Agreement to Purchase Amendment 1
43534 Long Term Contracting (Individuals) Form ModifiedOption Agreement to Purchase
43534 Long Term Contracting (Individuals) Form ModifiedRevision of Plan or Schedule of Operations or Modification of a Contract
43534 Long Term Contracting (Individuals) Form ModifiedLong-Term Agreement
43534 Long Term Contracting (Individuals) Form ModifiedApplication for Long-Term Contracted Assistance Through The Program
43534 Long Term Contracting (Individuals) Form Modified
184934 Long Term Contracting (State and Local Government) Other-Document Modified
184933 Long Term Contracting (Private Sector) Other-Document Modified
ICR Details
0578-0013 202103-0578-001
Active 202009-0578-001
USDA/NRCS
Long Term Contracting
Revision of a currently approved collection   No
Regular
Approved without change 02/28/2022
Retrieve Notice of Action (NOA) 06/30/2021
  Inventory as of this Action Requested Previously Approved
02/28/2025 36 Months From Approved 02/28/2022
5,390 0 5,560
3,059 0 3,085
0 0 0

The purpose of the Long-Term Contracting information collection is to provide for those programs to extend financial and technical assistance through easements and long-term contracts to landowners and others.

None
None

Not associated with rulemaking

  86 FR 15584 03/25/2021
86 FR 33208 06/24/2021
No

3
IC Title Form No. Form Name
Long Term Contracting (Individuals) NRCS-LTP-70 Hmong, NRCS-LTP-152 Spanish, NRCS-LTP-70 Spanish, NRCS-LTP-70 Vietnamese, NRCS-LTP-20 Spanish, AD-1155 Vietnamese, NRCS-LTP-152 Hmong, NRCS-LTP-80, NRCS-LTP-70, AD-1153 Hmong, AD-1153 Spanish, AD-1153 Vietnamese, AD-1154 Hmong, AD-1154 Vietnamese, AD-1156 Spanish, AD-1156 Vietnamese, AD-1158 Hmong, AD-1160 Hmong, AD-1160 Spanish, AD-1160 Vietnamese, AD-1161 Spanish, AD-1161 Hmong, NRCS-CPA-260 Spanish, NRCS-LTP-153 Hmong, NRCS-LTP-152 Vietnamese, AD-1155 Spanish, NRCS-LTP-151, AD-1153 , AD-1157, AD-1154 , AD-1155 , AD-1156 , AD-1157A, AD-1158, AD-1159, AD-1160, AD-1161 , NRCS-LTP-152, NRCS-LTP-13, AD-1155A, NRCS-LTP-153, NRCS-LTP-20, NRCS-CPA-260, AD-1161 Vietnamese, NRCS-LTP-152 hmong, NRCS-LTP-80 Spanish, NRCS-LTP-80 Hmong, AD-1155 Hmong, NRCS-CPA-260 Vietnamese, NRCS-LTP-153 Vietnamese, NRCS-LTP-20 Hmong, AD-1156 Hmong, AD-1154 Spanish, AD-1158 Vietnamese, AD-1158 Spanish, NRCS-CPA-260 Hmong, NRCS-LTP-153 Spanish, NRCS-LTP-80 Vietnamese, NRCS-LTP-20 Vietnamese Application for Long-Term Contracted Assistance Through The Program ,   Long-Term Agreement ,   Revision of Plan or Schedule of Operations or Modification of a Contract ,   Option Agreement to Purchase ,   Option Agreement to Purchase Amendment 1 ,   Subordination Agreement and Limited Lien Waiver ,   Notice of Intent to Continue ,   Compatible Use Authorization ,   Application for Payment ,   Conservation Plan Schedule of Operation ,   Conservation Plan Schedule of Operations ,   Status Review ,   Emergency Watersheds Protection Program Floodplain Warranty Easement Deed ,   Healthy Forests Reserve Program Conservation Easement ,   Notice of Agreement or Contract Violation ,   Transfer Agreement ,   Agreement Covering Non-Compliance with Provisions of Contract ,   Agreement for the Purchase of Conservation Easement ,   Agreement for the Purchase of Conservation Easement ,   DAIM NTAWV THOV TXHAWM RAU COV KEV PAB SIJHAWM NTEV LOS NTAWM TXOJ TXOJ HAUJLWM ,   SOLICITUD DE CONTRATACIÓN A LARGO PLAZO ASISTENCIA EL PROGRAMA ,   ĐƠN THAM GIA NHẬN HỖ TRỢ THEO HỢP ĐỐNG DÀI HẠN THÔNG QUA CHƯƠNG TRÌNH ,   KEV POM ZOO NTEV NTEV ,   ACUERDO A LARGO PLAZO ,   HỢP ĐỒNG DÀI HẠN ,   Hom phiaj hloov Los siv ntawv hloov ,   REVISIÓN DEL PLAN O PROGRAMA DE OPERACIONES O MODIFICACIÓN DE UN CONTRATO ,   SỬA ĐỔI KẾ HOẠCH HAY LỊCH TRÌNH HOẠT ĐỘNG HAY ĐIỂU CHỈNH HỢP ĐỒNG ,   HỢP ĐỒNG CÔNG TRÌNH PHỤ VÀ VIỆC MIỄN TRỪ TRÁCH NHIỆM GÁN NỢ CÓ GIỚI HẠN ,   ACUERDO DE SUBORDINACIÓN Y DE RENUNCIA DE DERECHO LIMITADA ,   DAIM NTAWV POM ZOO THIAB KEV TXWV YWV YAM MUAJ NQI NTAWM TUS NEEG TSHUAV NUJ NQI ,   LUB LAJ THAWJ TSO CAI SIV ,   AUTORIZACIÓN DE USO COMPATIBLE ,   ỦY QUYỀN SỬ DỤNG THÍCH HỢP ,   SOLICITUD DE PAGO ,   DAIM NTAWV THOV COV NYIAJ ,   Txoj kev Pab Txuag Cov hav zoov Liaj Teb Kom Zoo Txog Kev Zam Siv Av ,   Servidumbre de conservación del programa de reserva de bosques saludables ,   Quyền Địa Dịch Bảo Tồn Trong Chương Trình Khu Bảo Tồn Rừng Bền Vững ,   DAIM NTAWV POM ZOO LOS KAV TXOJ KEV UA TSIS RAWS CAI RAU COV TSHOOJ CAI NTAWM DAIM NTAWV COG LUS ,   ACUERDO QUE CUBRE EL INCUMPLIMIENTO DE DISPOSICIONES DEL CONTRATO ,   THỎA THUẬN VỀ TRƯỜNG HỢP KHÔNG CHẤP HÀNH CÁC ĐIỀU KHOẢN HỢP ĐỒNG ,   HỢP ĐỒNG CHUYỂN NHƯỢNG ,   ACUERDO DE TRANSFERENCIA ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   NTAWV POM ZOO RAU KEV YUAV KEV TXUAG DAIM AD ,   HỢP ĐỒNG MUA QUYỀN SỬ DỤNG ĐẤT CHO MỤC ĐÍCH BẢO TỒN ,   ACUERDO PARA LA COMPRA DE LA SERVIDUMBRE DE CONSERVACIÓN ,   Daim Ntawv Lav Tso Cai Siv Av Rau Kev Tsim Pas Dej CeevLos Tiv Thaiv Thaj Av Uas Muaj Dej Nyab ,   Escritura traslativa de dominio de servidumbre del Programa de protección de cuencas por emergencias en llanuras inundables ,   Khế Ước Bảo Đảm về Quyền Sá»­ Dụng Đất đối với Khu Vá»±c Có Nguy CÆ¡ Lụt Lội trong Chương Trình Bảo Vệ các Lưu Vá»±c Nước Khẩn Cấp ,   PLAN DE CONSERVACIÓN PROGRAMACIÓN DE OPERACIONES ,   Txoj kev npaj kev txuag CIJ QHIB ,   KẾ HOẠCH BẢO TỒN LỊCH TRÌNH HOẠT ĐỘNG ,   DAIM NTAWV POM ZOO HLOOV TSWV ,   ĐƠN XIN THANH TOÁN ,   DAIM NTAWV POM ZOO HLOOV TSWV
Long Term Contracting (Private Sector)
Long Term Contracting (State and Local Government)

  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 5,390 5,560 0 -170 0 0
Annual Time Burden (Hours) 3,059 3,085 0 -26 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Changing Forms
The decrease was due to phasing out form AD-1159 which results in a decrease of 170 respondents and 26 burden hours

$183,583
No
    No
    Yes
No
No
No
No
Shannon Persetic 202 720-2516

  No

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.
06/30/2021