202004-1910-002CF RCF OMB: 0596-0249 
OMB.report  
 
OMB 0596-0249  
 
RCF 202004-1910-002CF  
 
 ( RCF New ) 
 
 
Array
(
    [refNbr] => 202004-1910-002CF
    [obm] => 0596-0249
    [icr] => 202001-0596-002
    [status] => Active
    [agency] => DOE/DOEOA
    [title] => Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property
    [typeRCF] => RCF New
    [oiraAction] => Approved without change
    [oiraNOA] => 305973
    [termsOfClearance] =>   Please ensure that all DOE websites that refer to the SF-299 form are updated to refer to the currently-approved version.   
    [previousRCF] => 
    [agencyTrackingNo] => Pam Peckham
    [conclusionDate] => 2020-04-09
    [dateReceived] => 2020-04-09
)
Document
    
	View RCF
	    
		     - OIRA Conclusion
		
		
 
    
        
            
            
        
            
                
                    RCF ID:  202004-1910-002CFPrevious RCF ID:   
                
                    Status:  
						Active
                    Expiration Date:  02/28/2023 
                
                    Agency/Subagency:  DOE/DOEOAAgency Tracking No:  Pam Peckham 
                
                    Host OMB Control No:  0596-0249Host ICR Reference No:  202001-0596-002 
            
            
                
                    Title:  Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property 
            
            
	            
	                
	                Type of RCF:  RCF New
	                 
	             
 
         
     
                
                    OIRA Conclusion Action:  Approved without changeConclusion Date:  
                            04/09/2020
                     
                
                    
                    	Retrieve Notice of Action (NOA) 
                     
                    
                        
                                              Date Received in OIRA: 
						
                         
                        04/09/2020
                     
                 
                
                    Terms of Clearance:   Please ensure that all DOE websites that refer to the SF-299 form are updated to refer to the currently-approved version.
                     
    
            
 
    
         
             Description of Agency Usage:  
             	The information collected is used by the Department of Energy (DOE) to evaluate and ensure that authorized uses of DOE lands and facilities are in the public's interest and are compatible with the agency’s missions. The information helps DOE identify environmental and possible security risks.  Compliance with the National Environmental Policy Act (NEPA) is required, but is not limited, as DOE has many missions that have different statutory requirements. 
              
    
 
    
			
				
					Authorizing Statute(s): 
			
				None
			
			
			 
			 
        
 
        
	
    
        Annual Cost to Federal Government:  $0
         
    
        
            Agency Contact:  
            
				Denise Hill 202 586-0166 denise.hill@hq.doe.gov
					 
     
	
 
	Common Form Information Collections (IC) in this RCF: 
        
                
                    IC Title 
                    Status 
                    Responses 
                    Hours 
                    Dollars 
                    Document Type 
                    Form No. 
                    Form Name 
                 
		   
		    
			
				
				
				    
					
						
							
								Forest Service SF-299 Private Sector
							 
						 
					    5 
					    40 
					    0 
						Form and Instruction 
					    SF-299 
					    Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property 
					     
					
				
				
			
		    
        
 
				
				
					
						  
						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 
						0 
						0 
						5 
						0 
						0 
					 
					
						Annual Time Burden (Hours) 
						40 
						0 
						0 
						40 
						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: 
							Miscellaneous Actions
						 
					 
					
						
							Burden decreases because of Program Change due to Agency Discretion: 
							No
						 
					 
					
						
							Burden Reduction Due to: 
							
						 
					 
					
						
							Short Statement: 
							In order to use the SF-299, each agency must submit a request for use of the common (RCF) form in ROCIS.