Federal Advisory Committee Demographic Data

Forms and Documents

Document Name	Status
Final Version_Supporting Statement for Exec Order 14035 FACA demographic data_9.2023.docx Supporting Statement A	2023-09-05

IC Document Collections

IC ID	Document Title	Status
262012	Individuals or Households Other-FACA Screenshot Demo Survey - FCC Form 5649	New

ICR Details

OMB Control No:	ICR Reference No: 202308-3060-022
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: OWD
Title: Federal Advisory Committee Demographic Data
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/05/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	525	0
Time Burden (Hours)	87	0
Cost Burden (Dollars)	0	0

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Abstract: Agency officials developed the "Form 5649" to comply with Executive Order 14035, "Diversity, Equity, Inclusion, and Accessibility in the Federal Workforce, Section 5(e) that directs the FCC to collect and analyze voluntarily self-reported demographic data regarding the membership of federal advisory committees to increase diversity, equity, inclusion, and accessibility.

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Authorizing Statute(s): EO: EO 14035 Name/Subject of EO: Diversity, Equity, Inclusion and Accessibility in the Federal Workforce
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 41957	06/28/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 60679	09/05/2023
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
Individuals or Households

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ICR Summary of Burden

	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	525	0	0	525	0	0
Annual Time Burden (Hours)	87	0	0	87	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection resulting in a program change/increase of 525 total number of respondents, 525 total annual responses, and 87 total annual burden hours. These estimates will be added to OMB’s Active Inventory.

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Annual Cost to Federal Government: $71,242

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

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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: 09/05/2023

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