Information Collection; Contractor Information Worksheet; GSA Form 850, 75864-75865 [2015-30698]

Download as PDF 75864 Federal Register / Vol. 80, No. 233 / Friday, December 4, 2015 / Notices Governors not later than December 31, 2015. A. Federal Reserve Bank of New York (Ivan Hurwitz, Vice President) 33 Liberty Street, New York, New York 10045–0001: 1. The Adirondack Trust Company Employee Stock Ownership Trust, Saratoga Springs, New York; to acquire additional voting shares of 473 Broadway Holding Corporation, and also acquire additional voting shares of The Adirondack Trust Company, both in Saratoga Springs, New York. B. Federal Reserve Bank of Cleveland (Nadine Wallman, Vice President) 1455 East Sixth Street, Cleveland, Ohio 44101–2566: 1. KeyCorp, Cleveland, Ohio; to acquire First Niagara Financial Group, Inc., Buffalo, New York, and thereby indirectly acquire First Niagara Bank, NA, Buffalo, New York. Comments also may be sent to comments.applications@clev.frb.gov. C. Federal Reserve Bank of St. Louis (Yvonne Sparks, Community Development Officer) P.O. Box 442, St. Louis, Missouri 63166–2034: 1. Stone Bancshares, Inc., Mountain View, Arkansas, to become a bank holding company by acquiring 100 percent of the voting shares of Stone Bank, Mountain View, Arkansas. Board of Governors of the Federal Reserve System, December 1, 2015. Michael J. Lewandowski, Associate Secretary of the Board. [FR Doc. 2015–30648 Filed 12–3–15; 8:45 am] BILLING CODE 6210–01–P GENERAL SERVICES ADMINISTRATION [OMB Control No. 3090–0283; Docket 2015– 0001; Sequence 16] Information Collection; Contractor Information Worksheet; GSA Form 850 Identity, Credential, and Access Management (ICAM) Division, Office of Security, Office of Mission Assurance (OMA), General Services Administration (GSA). ACTION: Notice of request for comments regarding an extension to an existing OMB clearance. asabaliauskas on DSK5VPTVN1PROD with NOTICES AGENCY: Under the provisions of the Paperwork Reduction Act, the Regulatory Secretariat Division will be submitting to the Office of Management and Budget (OMB) a request to review and approve a previously approved information collection requirement, with changes, expanding the coverage of the information collection of the SUMMARY: VerDate Sep<11>2014 18:41 Dec 03, 2015 Jkt 238001 Contractor Information Worksheet; GSA Form 850. GSA requires OMB approval for this collection to make determinations on granting unescorted physical access to GSA-controlled facilities and/or logical access to GSA-controlled information systems. The approval is critical for GSA to continue following contractor onboarding processes required for working on GSA contracts. An updated System of Record Notice (SORN) was published in the Federal Register at 79 FR 47139, on August 12, 2014. Submit comments on or before: February 2, 2016. DATES: Submit comments identified by Information Collection 3090–0283, Contractor Information Worksheet; GSA Form 850, by any of the following methods: • Regulations.gov: http:// www.regulations.gov. Submit comments via the Federal eRulemaking portal by searching the OMB control number. Select the link ‘‘Submit a Comment’’ that corresponds with ‘‘Information Collection 3090– 0283, Contractor Information Worksheet; GSA Form 850’’. Follow the instructions provided at the ‘‘Submit a Comment’’ screen. Please include your name, company name (if any), and ‘‘Information Collection 3090–0283, Contractor Information Worksheet; GSA Form 850’’ on your attached document. • Mail: General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405. ATTN: Ms. Flowers/IC 3090–0283, Contractor Information Worksheet; GSA Form 850. Instructions: Please submit comments only and cite Information Collection 3090–0283, Contractor Information Worksheet; GSA Form 850, in all correspondence related to this collection. Comments received generally will be posted without change to http:// www.regulations.gov, including any personal and/or business confidential information provided. To confirm receipt of your comment(s), please check www.regulations.gov, approximately two to three days after submission to verify posting (except allow 30 days for posting of comments submitted by mail). ADDRESSES: Mr. Phil Ahn, Deputy Director, OMA Identity Credential and Access Management Division, GSA, telephone 202–501–2447 or via email at phillip.ahn@gsa.gov. FOR FURTHER INFORMATION CONTACT: SUPPLEMENTARY INFORMATION: PO 00000 Frm 00016 Fmt 4703 Sfmt 4703 A. Purpose The U.S. Government conducts criminal checks to establish that applicants or incumbents working for the Government under contract may have unescorted access to federally controlled facilities. GSA uses the Contractor Information Worksheet; GSA Form 850, and digitally captured fingerprints to conduct a FBI National Criminal Information Check (NCIC) for each contractor’s physical access determination to GSA-controlled facilities and/or logical access to GSAcontrolled information systems. Manual fingerprint card SF–87 is used for exception cases such as contractor’s significant geographical distance from fingerprint enrollment sites. The Office of Management and Budget (OMB) Guidance M–05–24 for Homeland Security Presidential Directive (HSPD) 12, authorizes Federal departments and agencies to ensure that contractors have limited/controlled access to facilities and information systems. GSA Directive CIO P 2181.1 Homeland Security Presidential Directive-12, Personal Identity Verification and Credentialing (available at http://www.gsa.gov/hspd12), states that GSA contractors must undergo a minimum of an FBI National Criminal Information Check (NCIC) to receive unescorted physical access to GSAcontrolled facilities and/or logical access to GSA-controlled information systems. Contractors’ Social Security Number is needed to keep records accurate, because other people may have the same name and birth date. Executive Order 9397, Numbering System for Federal Accounts Relating to Individual Persons, also allows Federal agencies to use this number to help identify individuals in agency records. B. Annual Reporting Burden Respondents: 25,000. Responses per Respondent: 1. Total Annual Responses: 25,000. Hours per Response: .25. Total Burden Hours: 6,250. C. Public Comments Public comments are particularly invited on: Whether this collection of information is necessary and whether it will have practical utility; whether our estimate of the public burden of this collection of information is accurate, and based on valid assumptions and methodology; ways to enhance the quality, utility, and clarity of the information to be collected. Obtaining Copies of Proposals: Requesters may obtain a copy of the E:\FR\FM\04DEN1.SGM 04DEN1 Federal Register / Vol. 80, No. 233 / Friday, December 4, 2015 / Notices information collection documents from the General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405, telephone 202–501–4755. Please cite OMB Control No. 3090–0283, Contractor Information Worksheet; GSA Form 850 in all correspondence. The form can be downloaded from the GSA Forms Library at http://www.gsa.gov/ forms. Type GSA 850 in the form search field. Dated: November 25, 2015. David A. Shive, Chief Information Officer. Proposed Project Prospective Birth Cohort Study Involving Environmental Uranium Exposure in the Navajo Nation (OMB Control No. 0923–0046, Expiration, 2/29/2016)—Extension—Agency for Toxic Substances and Disease Registry (ATSDR). [FR Doc. 2015–30698 Filed 12–3–15; 8:45 am] BILLING CODE 6820–34–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Toxic Substances and Disease Registry [30Day–16–0046] asabaliauskas on DSK5VPTVN1PROD with NOTICES Agency Forms Undergoing Paperwork Reduction Act Review The Agency for Toxic Substances and Disease Registry (ATSDR) has submitted the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995. The notice for the proposed information collection is published to obtain comments from the public and affected agencies. Written comments and suggestions from the public and affected agencies concerning the proposed collection of information are encouraged. Your comments should address any of the following: (a) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) Evaluate the accuracy of the agencies estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; (c) Enhance the quality, utility, and clarity of the information to be collected; (d) Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of VerDate Sep<11>2014 18:41 Dec 03, 2015 Jkt 238001 responses; and (e) Assess information collection costs. To request additional information on the proposed project or to obtain a copy of the information collection plan and instruments, call (404) 639–7570 or send an email to omb@cdc.gov. Direct written comments and/or suggestions regarding the items contained in this notice to the Attention: CDC Desk Officer, Office of Management and Budget, Washington, DC 20503 or by fax to (202) 395–5806. Written comments should be received within 30 days of this notice. Background and Brief Description The Navajo Nation is the largest Alaska Native/American Indian Reservation in the United States. From 1948 to 1986, many uranium mining and milling operations took place in the Navajo Nation, leaving a large amount of uranium contamination on the reservation. The House Committee on Oversight and Government Reform requested that federal agencies develop a plan to address health and environmental impacts of uranium contamination in the Navajo Nation. As a result in 2013, ATSDR and its research partners (University of New Mexico Community Environmental Health Program [UNM–CEHP], Navajo Area Indian Health Service [NAIHS], Navajo Nation Department of Health [NNDOH], Navajo Nation Environmental Protection Agency [NNEPA], and Navajo culture and language specialists) initiated a research study titled ‘‘Prospective Birth Cohort Study Involving Environmental Uranium Exposure in the Navajo Nation’’ (OMB Control No. 0923–0046; expiration date 02/29/2016). The goal of the research is to better understand and prevent unfavorable child and maternal health outcomes potentially related to prenatal exposures to uranium. As ATSDR has received supplemental funding to continue the study, a three year extension for PRA clearance is requested to allow further recruitment of mother-infant pairs. Participants include Native American mothers from age 14 to 45 with verification of pregnancy who have PO 00000 Frm 00017 Fmt 4703 Sfmt 4703 75865 lived in the study area for at least 5 years. Also, participants must consent to receive prenatal care and deliver at one of the healthcare facilities that are taking part in the study. Since 2013, over 525 mother-infant pairs and over 160 fathers have been enrolled. Biological sample analysis, surveys, and developmental screenings are performed for each participant. An estimated 675 biomonitoring samples have been analyzed for 36 metals/ metalloids including uranium, arsenic, lead and mercury. Home environmental assessments (HEAs), conducted by field research staff, consist of gamma radiation surveys, indoor air radon tests, and dust sample analysis of the participants’ primary residence during pregnancy, and over 400 HEAs have been completed to date. Mothers must be present at home when field research staff conduct the HEA. Study participants receive report back letters on their biomonitoring and HEA results to inform them of uranium and other heavy metals in their bodies and in and around their home environment. The survey instruments for pregnant mothers include the following: Eligibility Form, Mother Enrollment Survey, Ages and Stages Questionnaire (ASQ), Mullen Scales for Early Learning (MSEL), Postpartum Survey (2 months), Postpartum Survey (6,9,12 months), Food Frequency Questionnaire/WIC Intake Form, and Home Environmental Assessments. An enrollment survey for fathers who agree to participate is also administered. Follow-up assessments including the Ages & Stages Questionnaire and biomonitoring at 2, 6, 9 and 12 months are currently being conducted for the 387 infants delivered to date. Community Health and Environmental Research Specialists (CHERS) administer the surveys using a CDC-approved electronic data entry system. Survey instruments are used to collect demographic information and to assess potential environmental health risks and mother-child interactions. The final format of the survey instruments is based on review and input from the Navajo Nation community liaison group and associated Navajo staff to address issues such as cultural sensitivity, comprehension, and language translation. There is no cost to the respondents other than their time to participate in the study. The total estimated annual burden hours equals 4,455. E:\FR\FM\04DEN1.SGM 04DEN1

Agencies

[Federal Register Volume 80, Number 233 (Friday, December 4, 2015)]
[Notices]
[Pages 75864-75865]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-30698]


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GENERAL SERVICES ADMINISTRATION

[OMB Control No. 3090-0283; Docket 2015-0001; Sequence 16]


Information Collection; Contractor Information Worksheet; GSA 
Form 850

AGENCY: Identity, Credential, and Access Management (ICAM) Division, 
Office of Security, Office of Mission Assurance (OMA), General Services 
Administration (GSA).

ACTION: Notice of request for comments regarding an extension to an 
existing OMB clearance.

-----------------------------------------------------------------------

SUMMARY: Under the provisions of the Paperwork Reduction Act, the 
Regulatory Secretariat Division will be submitting to the Office of 
Management and Budget (OMB) a request to review and approve a 
previously approved information collection requirement, with changes, 
expanding the coverage of the information collection of the Contractor 
Information Worksheet; GSA Form 850.
    GSA requires OMB approval for this collection to make 
determinations on granting unescorted physical access to GSA-controlled 
facilities and/or logical access to GSA-controlled information systems. 
The approval is critical for GSA to continue following contractor 
onboarding processes required for working on GSA contracts. An updated 
System of Record Notice (SORN) was published in the Federal Register at 
79 FR 47139, on August 12, 2014.

DATES: Submit comments on or before: February 2, 2016.

ADDRESSES: Submit comments identified by Information Collection 3090-
0283, Contractor Information Worksheet; GSA Form 850, by any of the 
following methods:
     Regulations.gov: http://www.regulations.gov.
    Submit comments via the Federal eRulemaking portal by searching the 
OMB control number. Select the link ``Submit a Comment'' that 
corresponds with ``Information Collection 3090-0283, Contractor 
Information Worksheet; GSA Form 850''. Follow the instructions provided 
at the ``Submit a Comment'' screen. Please include your name, company 
name (if any), and ``Information Collection 3090-0283, Contractor 
Information Worksheet; GSA Form 850'' on your attached document.
     Mail: General Services Administration, Regulatory 
Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405. 
ATTN: Ms. Flowers/IC 3090-0283, Contractor Information Worksheet; GSA 
Form 850.
    Instructions: Please submit comments only and cite Information 
Collection 3090-0283, Contractor Information Worksheet; GSA Form 850, 
in all correspondence related to this collection. Comments received 
generally will be posted without change to http://www.regulations.gov, 
including any personal and/or business confidential information 
provided. To confirm receipt of your comment(s), please check 
www.regulations.gov, approximately two to three days after submission 
to verify posting (except allow 30 days for posting of comments 
submitted by mail).

FOR FURTHER INFORMATION CONTACT: Mr. Phil Ahn, Deputy Director, OMA 
Identity Credential and Access Management Division, GSA, telephone 202-
501-2447 or via email at phillip.ahn@gsa.gov.

SUPPLEMENTARY INFORMATION: 

A. Purpose

    The U.S. Government conducts criminal checks to establish that 
applicants or incumbents working for the Government under contract may 
have unescorted access to federally controlled facilities. GSA uses the 
Contractor Information Worksheet; GSA Form 850, and digitally captured 
fingerprints to conduct a FBI National Criminal Information Check 
(NCIC) for each contractor's physical access determination to GSA-
controlled facilities and/or logical access to GSA-controlled 
information systems. Manual fingerprint card SF-87 is used for 
exception cases such as contractor's significant geographical distance 
from fingerprint enrollment sites.
    The Office of Management and Budget (OMB) Guidance M-05-24 for 
Homeland Security Presidential Directive (HSPD) 12, authorizes Federal 
departments and agencies to ensure that contractors have limited/
controlled access to facilities and information systems. GSA Directive 
CIO P 2181.1 Homeland Security Presidential Directive-12, Personal 
Identity Verification and Credentialing (available at http://www.gsa.gov/hspd12), states that GSA contractors must undergo a minimum 
of an FBI National Criminal Information Check (NCIC) to receive 
unescorted physical access to GSA-controlled facilities and/or logical 
access to GSA-controlled information systems.
    Contractors' Social Security Number is needed to keep records 
accurate, because other people may have the same name and birth date. 
Executive Order 9397, Numbering System for Federal Accounts Relating to 
Individual Persons, also allows Federal agencies to use this number to 
help identify individuals in agency records.

B. Annual Reporting Burden

    Respondents: 25,000.
    Responses per Respondent: 1.
    Total Annual Responses: 25,000.
    Hours per Response: .25.
    Total Burden Hours: 6,250.

C. Public Comments

    Public comments are particularly invited on: Whether this 
collection of information is necessary and whether it will have 
practical utility; whether our estimate of the public burden of this 
collection of information is accurate, and based on valid assumptions 
and methodology; ways to enhance the quality, utility, and clarity of 
the information to be collected.
    Obtaining Copies of Proposals: Requesters may obtain a copy of the

[[Page 75865]]

information collection documents from the General Services 
Administration, Regulatory Secretariat Division (MVCB), 1800 F Street 
NW., Washington, DC 20405, telephone 202-501-4755. Please cite OMB 
Control No. 3090-0283, Contractor Information Worksheet; GSA Form 850 
in all correspondence. The form can be downloaded from the GSA Forms 
Library at http://www.gsa.gov/forms. Type GSA 850 in the form search 
field.

    Dated: November 25, 2015.
David A. Shive,
Chief Information Officer.
[FR Doc. 2015-30698 Filed 12-3-15; 8:45 am]
 BILLING CODE 6820-34-P