0720-cvid_ssa_4.3.2020 Lp

0720-CVID_SSA_4.3.2020 LP.docx

Personnel Accountability & Assessment Notification for COVID-19

OMB: 0720-0067

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SUPPORTING STATEMENT - PART A

Personnel Accountability and Assessment Notification for COVID-19 Exposure – 0720-XXXX



  • This is a new collection, with a new associated burden for which the Department of Defense is seeking an emergency approval from OMB.

  • This package is for the approval of DD form 3112 “Personnel Accountability and Assessment Notification for Coronavirus Disease (COVID-19) Exposure,” the DoD has designed this form to standardize information collected within the department related to the COVID-19 pandemic, as well as any future public health emergencies or similar occurrences.




1. Need for the Information Collection


The principal purpose of the DD form 3112, “Personnel Accountability and Assessment Notification for a Public Health Emergency,” is to collect information used to protect the health and safety of individuals working in, residing on, or assigned to DoD installations, facilities, field operations, and commands, and to protect the DoD mission. When authorized by DoD, this form may be used to provide information about individuals who are infected or otherwise impacted by the COVID-19 pandemic. The collection of this information is necessary to support the DoD in protecting the health and safety of DoD-affiliated individuals and maintain the DoD mission.


The information collected via the DD-3112 will be used to make informed decisions about the status of the DoD facility and office space that subject individuals exposed to COVID-19 have entered. This information may be used to make Health Protection Condition (HPCON) level decisions. It may also be used to notify other individuals who may have been in contact with the subject individual(s).


The collection of this information is authorized by the following authorities:

  • 10 U.S.C. 113, Secretary of Defense

  • 10 U.S.C. 136, Under Secretary of Defense for Personnel and Readiness

  • 10 U.S.C. 7013, Secretary of the Army

  • 10 U.S.C. 8013, Secretary of the Navy

  • 10 U.S.C. 9013, Secretary of the Air Force

  • 10 U.S.C. 2672, Protection of Buildings, Grounds, Property, and Persons

  • DoD Instruction 3001.02, Personnel Accountability in Conjunction with Natural or Manmade Disasters

  • DoD Instruction 6200.03, Public Health Emergency Management (PHEM) Within the DoD

  • DoD Instruction 6055.17, and DoD Emergency Management (EM) Program


2. Use of the Information


The public respondents of the DD-3112 include government contractors, Contracting Officer Representatives, DoD employee dependents, as well as any other residents or visitors to DoD facilities. Respondents (or their sponsoring DoD employee) complete the form in the event that the respondent has potentially been exposed to COVID-19.


The DD-3112 will be widely disseminated to DoD employees for use at the component and proponent level. The form will be accessible at https://www.esd.whs.mil/Directives/forms/. Once completed, respondents submit the form to the appropriate office within their DoD component via email (respondents also have the option to submit their responses by telephone, however this submission method is not expected to be widely utilized.. The information collected will allow for informed decisions to be made by installation commanders, public health emergency officers, senior DoD officials, military housing/ facilities managers and supervisors about the status of the DoD facility and office space that the exposed respondent has entered.


3. Use of Information Technology


99% of responses will be collected electronically.


4. Non-duplication


The information obtained through this collection is unique and is not already available for use or adaptation from another cleared source.


5. Burden on Small Businesses

This information collection does not impose a significant economic impact on a substantial number of small businesses or entities.


6. Less Frequent Collection


This information is collected upon the occasion a DoD-affiliated individual or recent facility visitor is potentially exposed COVID-19. Should this information be collected less frequently, the health and safety of individuals working in, residing on, or assigned to DoD installations, facilities, field operations, and commands may be put at risk, and also result in a public health issue.


7. Paperwork Reduction Act Guidelines

This collection of information does not require collection to be conducted in a manner inconsistent with the guidelines delineated in 5 CFR 1320.5(d)(2).

8. Consultation and Public Comments

This collection is being submitted to OMB for an emergency approval as it is imperative the Department collect this information immediately. Solicitation for public comments on the collection through the Federal Register will be sought at a later date.

9. Gifts or Payment


No payments or gifts are being offered to respondents as an incentive to participate in the collection.


10. Confidentiality


A Privacy Act Statement (PAS) is required for this collection. The PAS is provided on page 3 of the form.


A System of Record Notice (SORN) is required for this collection. The SORN, DPR 39 DoD, “DoD Personnel Accountability and Assessment System” is available at https://dpcld.defense.gov/Portals/49/Documents/Privacy/SORNs/OSDJS/DPR-39-DoD.pdf.


The Military Departments, Joint Chiefs of Staff and OSD all retain in accordance with their individual Records and Information Management retention schedules.


11. Sensitive Questions


No questions considered sensitive are being asked in this collection.


12. Respondent Burden and its Labor Costs

Part A: ESTIMATION OF RESPONDENT BURDEN


  1. DD-3112

  1. Number of Respondents: 100,000

  2. Number of Responses Per Respondent: 1

  3. Number of Total Annual Responses: 100,000

  4. Response Time: 5 minutes

  5. Respondent Burden Hours: 8,333.3 hours


  1. Total Submission Burden

    1. Total Number of Respondents: 100,000

    2. Total Number of Annual Responses: 100,000

    3. Total Respondent Burden Hours: 8,333.3 hours


The generous public burden estimates are based on data provided by the Emergency Operations Center of 540 responses in a month. However, based on the scope of the pandemic or a similar situation, the burden estimate will vary. The burden estimate will be revised as needed upon future submissions for OMB extensions of this collection.


Part B: LABOR COST OF RESPONDENT BURDEN


  1. DD-3112

  1. Number of Total Annual Responses:100,000

  2. Response Time: 5 minutes

  3. Respondent Hourly Wage: $7.25

  4. Labor Burden per Response: $0.60

  5. Total Labor Burden: $60,416.67


  1. Overall Labor Burden

    1. Total Number of Annual Responses: 100,000

    2. Total Labor Burden: $60,416.67


The Respondent hourly wage was determined by using the Department of Labor Wage Website ([http://www.dol.gov/dol/topic/wages/index.htm]).


13. Respondent Costs Other Than Burden Hour Costs


There are no annualized costs to respondents other than the labor burden costs addressed in Section 12 of this document to complete this collection.


14. Cost to the Federal Government


Part A: LABOR COST TO THE FEDERAL GOVERNMENT


  1. DD-3112

  1. Number of Total Annual Responses: 100,000

  2. Processing Time per Response: 15 minutes

  3. Hourly Wage of Worker(s) Processing Responses : $40.82*

  4. Cost to Process Each Response: $10.21

  5. Total Cost to Process Responses: $1,020,500.00


  1. Overall Labor Burden to the Federal Government

    1. Total Number of Annual Responses: 100,000

    2. Total Labor Burden: $1,020,500.00


*https://www.opm.gov/policy-data-oversight/data-analysis-documentation/federal-employment-reports/reports-publications/profile-of-federal-civilian-non-postal-employees/


Part B: OPERATIONAL AND MAINTENANCE COSTS


  1. Cost Categories

    1. Equipment: $0.00

    2. Printing: $0.00

    3. Postage: $0.00

    4. Software Purchases: $0.00

    5. Licensing Costs: $0.00

    6. Other: $0.00


  1. Total Operational and Maintenance Cost: $0.00


Part C: TOTAL COST TO THE FEDERAL GOVERNMENT


  1. Total Labor Cost to the Federal Government: $1,020,500.00


  1. Total Operational and Maintenance Costs: $0.00


  1. Total Cost to the Federal Government: $1,020,500.00


15. Reasons for Change in Burden


This is a new collection with a new associated burden.


16. Publication of Results


The results of this information collection will not be published.


17. Non-Display of OMB Expiration Date


We are not seeking approval to omit the display of the expiration date of the OMB approval on the collection instrument.


18. Exceptions to “Certification for Paperwork Reduction Submissions”


We are not requesting any exemptions to the provisions stated in 5 CFR 1320.9.

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AuthorKaitlin Chiarelli
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File Created2021-01-13

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