ML20207B332

Request for OMB Review & Supporting Statement Re NRC Form 445, Request for Approval of Foreign Travel. Estimated Respondent Burden Is 30 H

ML20207B332
Person / Time
Issue date:	05/17/1999
From:	Shelton B NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
To:
Shared Package
ML20207B334	List: ML20207B332 ML20207B346
References
OMB-3150, OMB-3150-0000, NUDOCS 9905280203
Download: ML20207B332 (7)

Text

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PAPERWORK REDUCTION ACT SUBMISSION Please road the instructions before cO6ps this form. For additional forms or assistance in completing this form, contact your s Paperwork Clearance umcor. Send two copies of this form the collection instrument to be reviewed, the St tatement, and any additional documentation to: Office of information and Reculatory Affairs, Office of and Budget Docket Library, Room 10102,72517th Street NW, Washington, DC 20503.

1. A ency/n A 7 wi onginating request

2. OMB control number 0

U.S. Nuclear Regulatory Commission 7

a.

3150-0 b.None

3. Type of mformation collection (check one)

4. Type of review requested (check one) y

a. New collection y

a. Regular

c. Delegated

b. Revision of a currently approved collection

b. Emergency. Approval requested trj (date):

c. Extension of a currently approved colledon

5. Will this information colledon have a a.Yes signthcant economic impact on a i

d. Reinetatement, without change, of a previously approved substantal number of small entities?

I collecten for wh6ch approval nas expired g

b.No colle!enforNa*pMhIs'e!p*rN'" #

y

a. Three years from approval date Re

• • 1. giasted

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f. Existing coiledion in use without an OMB control number

b. Other (Specify):

7. Title NRC Form 445, Request for Approval of Foreign Travel

8. Agency form number (s) (if appl # cable)

NRC Form 445

9. Keywords F: reign Travel Request, Accounting and Finance

10. Abstract NRC Form 445 is used by consultants and contractors who travel to foreign countries in the course of conducting business for the NRC. In accordance with 48 CFR 20,"NRC Acquisition Regulation," contractors traveling to foreign countries are required to complete this form to be authorized to travel.

11. Affected public tummenmem um v end ec orows mat epwr utn ~x')

12. Obtigsten to respond cuen onmem um venc eu omera mer eepy arn "x")

T

a. Individuals or households

d. Farms T

a. voluntary T

b. Business or other for-profit

e. Federal Govemment T

b. Required to obtain or retain benefits

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f. State. Local or Tribal Govemment

c. Mandatory

c. Not-for-profit institutions

13. Annual reporting and recordkeeping hour burden

14. Annual reporting and recordkeeping cost burden co mpusends crasas>

30

a. Total annuahzed capital /startup costs

a. Number of respondents 30

b. Total annua! costs (O&M)

b. Totalannualresponses

1. Percentage of these responses

c. Total annuahzed cost requested collected eketmnicalty 0.0

d. corrent OMB inventory

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c. Totalannualhours requested 30

,. o,,,,,,nc.

d. Current OMB inventory 0

f. Explanation of difference

e. Difference 30 1.

gmm mange

f. Explanation of difference 30

2. Adjustment

1. Program change

2. Adjustment g

15. Purpose of information col 6ection

16. Frequency of recordkeeping or reporting (checA a# that apply)

(Mark pnmary we *P" and a# others mat apply we M

s. Recordkeeping

b. Third-party disclosure T

a. Applicatenforbenefits

e. Program plenmng or managerrent 7

c. Reportmg

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] 1. On occasion ] 2. Weekty

] 3. Monthly

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b. Program evaluation

f. Research

c. General purpose statistics

g. Regulatory or compfiance

4. Quarterty

5. Semi-annually

6. Annually

d. Audit

7. Biennialty

8. Other (describe)

17. Statistical methods

18. Agency contact (person who can best answer questens regeroung the Does this informatson collection employ staasticalmethods?

Name:

John R. Walker, OCFO Yes

%h6 301-415-6259 Phone:

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19. Certification for P perwork Reduction Act Submissions On behalf of this Federal agency, I certify that the collection ofinformation encompassed by this request complies with 5 CFR 1320.9.

NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8 (b)(3), appear at the end of the instructions, The certyication is to be made with reference to those regulatoryprovisions as setforth in the instructions.

The following is a summuy of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper perfonnance of agency functions; (b) It avoids unnecessary duplication; (c) It reduces burden on small entities; (d) It uses plain, coherent, and unambiguous terminology that is understandable to responder.ts; (e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices; f

(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):

(i)

Why the information is being collected; (ii) Use ofinformation; (iii) Burden estimate; (iv) Nature of response (voluntary, requued for a benefit, or mandatory);

.(v) Nature of 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 (see note in item 19 of the instmctions);

(i) It uses effective and efficient statistical survey methodalogy; and (j) It makes appropriate use ofinformation technology.

If you are unable to certify compliance with any of these provisions, identify the item below and explain the reason in item 18 of the Supporting Statement.

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l Date Signature of Authonzed Agency Gh:

Date l

Sgnature Senior Omcial or A-

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f NRCf the Chief Information Omcor y

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l FINAL OMB SUPPORTING STATEMENT FOR NRC FORM 445, " REQUEST FOR APPROVAL OF FOREIGN TRAVEL" -

j NEW COLLECTION l

Descriotion of the Information Ca!iadian

. Information forwarded on the above, " Request for Approval of Foreign Travel" form is supplied by consultants and contractors who travel to foreign countries in the course of conducting

. business for the NRC. In accordance with 48 CFR 20, "NRC Acquisition Regulation,"

contractors traveling to foreign countries are required to complete this form. The information requested includes the name of the Office Director / Regional Administrator recommending travel, approval by the Office Director, Regional Administrator or Chairman, as appropriate, the traveler's identifying information, purpose of travel, a listing of the trip coordinators, other NRC -

travelers and contractors attending the same meeting, and a proposed itinerary.

A.

JUSTIFICATION 1.

Need for and Practical Utility of the Collection of Information.

Data from the NRC Form 445 is needed to initiate travel arrangements to foreign countries. It also aids in the preparation of the travel authorization, NRC Form 279, which is required before any travel can commence, it also aids in reconciling the travel voucher at the conclusion of a inp.

2.

Acency Use of Information.

)

i information on NRC Form 445 is used to authorize foreign travel for contractors and consultants. Information, such as proposed itinerary and purpose of travel, is needed to obtain official passports and visas from the Department of State and

)

from the embassy of the foreign country being visited. No forms are transmitted only essential identifying information from the form. The information contained on NRC Form 445 is not captured nor retained in the agency's accounting system.

3.

Reduction of Burden Throuah Information Technoloov.

There is no legal obstacle to reducing the burden associated with this information collection through use of information technology. Moreover, NRC encourages its use.

4.

Effort to identify Duolication and Use Similar Information.

The Information Requirements Control Automated System (IRCAS) was searched for duplication, and none was found.

T 5.

Effort to Reduce Small Business Burden.

Completion of NRC Form 445 is required by non-Federal personnel such as, consultants, contractors, and NRC invited travelers. This is the minimum information needed to authorize travel for this group.

i 6.

Consecuences to Federal Proaram or Policy Activities if the Collection is Not Conducted or is Conducted Less Freauentiv.

This information is needed in order to process a travel authorization. According to Federal Travel regulations, a travel authorization must be in place before official travel can begin. Without a travel authorization, reimbursement may not j

be made for any expense incurred by the traveler.

7.

Circumstances which Justifv Variation from OMB Guidelines.

Not Applicable.

8.

Consultations Outside the NRC.

An opportunity to comment on the information collection requirements for this new collection was pubhshed in the Federal Reaister February 17,1999 (64 FR 7914) and no comments were received.

I 9.

Payment or Gift to Respondents.

Not Applicable.

10.

Confidentiality of Information.

This information is protected from public disclosure under the Privacy Act of 1974 and is handled in accordance with routine uses specified in the Privacy Act Statement.

11.

Justification for Sensitive Questions.

Not applicable.

12.

Estimate of Burden and Burden Hour Cost.

It is estimated that 30 contractors and consultants will travel to foreign countries annually. At an estimated burden of 1 hr per form, the annual burden is estimated to be 30 hrs. At a professional hourly rate of ($121/hr), the annual cost is $3,630 (30 forms annually x 1 hr/ form x $121/hr/ form).

13.

Estimate of Other Additional Costs.

None.

r.

i 14.

Estimated Annualized Cost to the Federal Govemment.

The total annualized cost to the NRC for reviewing and assessing NRC Form 445 is $675 (15 staff hrs x $45/hr (clerical hourly rate]).

15, Reasons for Chanoes in Burden or Cost.

New collection.

16.

Publication for Statistical Use.

None.

i 17.

Reason for Not Disolavino the Exoiration Date.

Not applicable.

18.

Exceptions to the Certification Statement.

Not applicable.

B.

COLLECTION OF INFORMATION EMPLOYING STATISTICAL METHODS Not applicable.

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U NRC FORM 445 U.S. NUCLEAR REGULATORY COMMISSION APPRO4D BY OM8: NO. 31604000 EXPtRES: MIWDO/YYYY MM YWa esRCaso 14.1 Estimated t:urden per rosponse to ccmply with trus voluntEry collectmi recuest 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> NRC uses this form to authonte foregn travel for non-Federal personnel an the course of conducting Duseness for the NRC Send comments regarding burden estimate to the Records Management Branch (T-6 E6). U S. Nuclear Regulatory Commission.

REQUEST FOR APPROVAL OF OFFICIAL wasnington. oC 2osssoooi,, or iniemei e n e eisionre gov. and e ine om

"'" " " '"'""*'*'" "*S"my Anam NE Ba 202. (si somo). On<=

FOREIGN TRWEL of Man'agement and Budget. Washington. DC 2oso3 ff a means used to impose an information collechon does not desplay a currently valx! OMB control numbe., tte NRC may not conduct or sponsor. and a person as not required to respond to, the information conecnon MUST BE COMPLETED 30 DAYS PRIOR TO TRAVEL COMACUN OmCE OR RECeiO8e A. REVIEW AND APPROVAL SiONATURE 10FFICE DIRECTOR / REGIONAL ADMINISTRATOR ' 'OATE~

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SIGNATURL - DIRE CTOR OIP '(# requwod)

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^DATE

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PROGRAM OF FICE'

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SIGNATURE - CHAIRMAN'(d requred)

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DATE~~

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B. TRAVELER INFORMATION (To be completed by traveler) 1 # DAME Of IftAVELLR (Hirir or type - Lase. Arte ena muase ntse')

2 IS YOUR PASSPORT CURRENI7 3DAIkOfDEPAHIURL YES NO O PO$ifiON T AILE (arrauce professaan) 5 tMPLOYt.H b HOMt. ADDkt.bS prn.1erse /W C.oors

/ bubsNt hS ADONE SS ute llP Cooe)

J EluNATUHL - lHAVELt H te DAIL

10. PURPOSE OF TRAVEL

10. LIST OF PERSONS WITH WHOM TRAVEL HAS BEEN COORDINATED

11. LIST OTHER NRC TRAVELERS AND CONTRACTORS GOINO (wfthin # RC and in other U.S. Govemment agencies)

TO SAME FOREIGN MEETINO OR DESTINATION l

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12. SOURCE OF FUNDING NRC FORM 445 (MM-YYYY)

ORIG TO COPYTO COPY TO This 'orm een nengN1 usin0 inF orms OCFOITSS DF SnNF03E-C OiP PRINTED ON RECYCLED PAPE R w

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13. PROPOSED ITINERARY if thes informaten 0 CLASSIFIED, be sure to CLASSIFY THIS FORM appropnately.

(Acwunt Ibr aR tJme kom beginnmg through er6ng dates of travel) l LOCATION INDfVIDUALS TO SUBJECT OF W

i DATES I (Installation, City, Country)

BE CONTACTED DISCUSSION Cg j

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PRIVACY ACT STATEMENT Pursuant TO 5 U.S.C. 552a(e)(3), enacted into law by Section 3 of the Privacy Act of 1974 (Public Law 93-570), the following statement is fumished to individuals who supply information to the U.S. Nuclear Regulatory Commission on NRC Form 445.

This information is maintained in a system of records designated as NRC-20 and desenbed at 58 Federal Register 36468 (July 7,1993), or the most recent Federal Register publication of the U.S. Nuclear Regulatory Commission's

• Republication of Systems of Records Notices" that is available at the NRC Public Document Room, Gelman Building, Lower Level,2120 L Street NW, Washington, DC,

1. AUTHORITY: 31 U.S.C.1104; 1108, 3511, 716, 3512, 3701, information from this form may also be disclosed, in the course 3711,3717,3718 (1988); 5 U.S C. 5701 (1988), Federal Travel of discovery under a protective order issued by a court of Regulations 41 CFR Parts 301-304; and Federal Property competent junsdiction, and in presenting evidence, to a Management Regulations,41 CFR Part 101-71.

Congressional office to respond to their inquiry made at your request, or to NRC-paid experts, consultants, and others ur. der contract with the NRC, on a need-to-know basis.

2. PRINCIPAL PURPOSE (S): Information entered on this form is 1: sed to secure the required NRC approval for official foreign travel.

4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY ROUTINE USE(S): Information on this form may be used for AND EFFECT ON INDIVIDUAL OF NOT PROVIDING 3 transmittal to the U.S. Treasury for payment and for transmittal to INFORMATION: Disclosure is voluntary. If the requested the Department of State or an embassy for passports or visas information is not provided, however, approval may t,e denied.

The information may also be disclosed to an appropriate Federal, State, local or Foreign agency in the event the information indicates a violation or potential violation of law and in the course of an administrative or judicial proceeding. In addition. this information may be transferred to an appropriate Federal, State, 5 SYSTEM MANAGER (S) AND ADDRESS:

local, and Foreign agency to the extent relevant and necessary for an NRC decision about you or to the extent relevant and Chief, Travel Management Branch necessary for that agency's decision about you.

Division of Accounting and Finance Ofice of the Chief Financial Officer U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 NRc FORM 445 (MM YYYY)