Reparations Complaint, CFTC Form 30

OMB Control No: 3038-0115	ICR Reference No: 202103-3038-007
Status: Historical Active	Previous ICR Reference No: 201711-3038-002
Agency/Subagency: CFTC	Agency Tracking No:
Title: Reparations Complaint, CFTC Form 30
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/13/2021
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/12/2021
Terms of Clearance: It is expected a renewal request will be submitted once following the approval of this emergency extension, and that the renewal request is currently out for public comment.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	6 Months From Approved
Responses	15	0	0
Time Burden (Hours)	23	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Pursuant to Section 14(b) of the Act, Congress provided the Commission with authority to promulgate rules necessary to administer the Reparations program. In 1984, the Commission promulgated Part 12 of the Commission regulations to administer Section 14. Rule 12.13 provides the standards and procedures for filing a Reparations complaint. Specifically, subparagraph (b) describes the form and content requirements of a complaint. Form 30 mirrors the requirements set forth in subparagraph (b). Form 30 was created to assist customers, who are typically pro se and non-lawyers. It was also designed as a way to give proper notice to respondents of the charges against them. The purpose of Reparations is to provide a low-cost, efficient, and effective forum to resolve private disputes involving potential violations of the Act and/or Regulations. This form is critical to fulfilling this policy goal. Accordingly, the Commission is requesting an OMB control number to continue use Form 30.

Emergency Justfication: Collection needed for continued regulation.

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Authorizing Statute(s): US Code: 7 USC 18 Name of Law: CEA

Citations for New Statutory Requirements: None

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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

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 Reparations Complaint, CFTC Form 30

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ICR Summary of Burden

	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	15	0	0	0	0	15
Annual Time Burden (Hours)	23	0	0	0	0	23
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:

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Annual Cost to Federal Government: $0

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

Agency Contact: Gail Scott 202 418-5139 [email protected]

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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: 03/12/2021

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