Notice2026-00186
Agency Information Collection Activities; Submission to the Office of Management and Budget for Review and Approval; Access and Consent Forms
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
January 8, 2026
Issuing agencies
Interior Department
Abstract
In accordance with the Paperwork Reduction Act of 1995, we, the Office of the Secretary, Office of the Chief Information Officer are proposing to renew an information collection.
Full Text
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<title>Federal Register, Volume 91 Issue 5 (Thursday, January 8, 2026)</title>
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[Federal Register Volume 91, Number 5 (Thursday, January 8, 2026)]
[Notices]
[Pages 718-719]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-00186]
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DEPARTMENT OF THE INTERIOR
Office of the Secretary
[25XD4523WS; DS67010000; DWSN00000.000000; DP67012; OMB Control Number
1093-0013]
Agency Information Collection Activities; Submission to the
Office of Management and Budget for Review and Approval; Access and
Consent Forms
AGENCY: Office of the Secretary, Office of the Chief Information
Officer, Interior.
ACTION: Notice of information collection; request for comment.
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SUMMARY: In accordance with the Paperwork Reduction Act of 1995, we,
the Office of the Secretary, Office of the Chief Information Officer
are proposing to renew an information collection.
DATES: Interested persons are invited to submit comments on or before
February 9, 2026.
ADDRESSES: All written comments and recommendations for the proposed
information collection must be submitted electronically within 30 days
of publication of this notice at <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>.
Find this particular information collection by selecting ``Currently
under Review--Open for Public Comments'' or by using the search
function. Please provide a copy of your comments to Jeffrey Parrillo,
Departmental Information Collection Clearance Officer, U.S. Department
of the Interior, 1849 C Street NW, Washington, DC 20240, or by email at
<a href="/cdn-cgi/l/email-protection#63272c2a3c333122230a0c104d070c0a4d040c15"><span class="__cf_email__" data-cfemail="c98d868096999b8889a0a6bae7ada6a0e7aea6bf">[email protected]</span></a>. Please reference Office of Management and Budget
(OMB) Control Number 1093-0013 in the subject line of your comments.
FOR FURTHER INFORMATION CONTACT: Jeffrey Parrillo, Departmental
Information Collection Clearance Officer, U.S. Department of the
Interior, 1849 C Street NW, Washington, DC 20240, by email at
<a href="/cdn-cgi/l/email-protection#3c787375636c6e7d7c55534f12585355125b534a"><span class="__cf_email__" data-cfemail="d3979c9a8c83819293babca0fdb7bcbafdb4bca5">[email protected]</span></a>, or by telephone at 202-208-7072. Individuals in
the United States who are deaf, deafblind, hard of hearing, or have a
speech disability may dial 711 (TTY, TDD, or TeleBraille) to access
telecommunications relay services. Individuals outside the United
States should use the relay services offered within their country to
make international calls to the point-of-contact in the United States.
You may also view the Information Collection Request (ICR) at <a href="http://www.reginfo.gov/public/do/PRAMain">http://www.reginfo.gov/public/do/PRAMain</a>.
SUPPLEMENTARY INFORMATION: In accordance with the Paperwork Reduction
Act of 1995 (PRA, 44 U.S.C. 3501 et seq.) and 5 CFR 1320.8(d)(1), we
provide the general public and other Federal agencies with an
opportunity to comment on new, proposed, revised, and continuing
collections of information. This helps us assess the impact of our
information collection requirements and minimize the public's reporting
burden. It also helps the public understand our information collection
requirements and provide the requested data in the desired format.
A Federal Register notice with a 60-day public comment period
soliciting comments on this collection of information was published on
April 30, 2025 (90 FR 17950). One comment was received but it did not
address the information collection.
As part of our continuing effort to reduce paperwork and respondent
burdens, we are again soliciting comments from the public and other
Federal agencies on the proposed ICR that is described below. We are
especially interested in public comment addressing the following:
(1) Whether or not the collection of information is necessary for
the proper performance of the functions of the agency, including
whether or not the information will have practical utility;
(2) The accuracy of our estimate of the burden for this collection
of
[[Page 719]]
information, including the validity of the methodology and assumptions
used;
(3) Ways to enhance the quality, utility, and clarity of the
information to be collected; and
(4) How might the agency 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 response.
Comments that you submit in response to this notice are a matter of
public record. Before including your address, phone number, email
address, or other personal identifying information in your comment, you
should be aware that your entire comment--including your personally
identifiable information (PII)--may be made publicly available at any
time. While you can ask us in your comment to withhold your PII from
public review, we cannot guarantee that we will be able to do so.
Abstract: The Department of the Interior (DOI) developed the DI-
4016, Request for Individual Access to Records Protected under the
Privacy Act, and DI-4017, Consent for Disclosure of Records Protected
under the Privacy Act, forms for individuals to submit requests for
accessing, and consenting to the disclosure of, records protected under
the Privacy Act of 1974, as amended, 5 U.S.C. 552a. The DI-4016,
Request for Individual Access to Records Protected under the Privacy
Act, form is used by individuals seeking access to their records and
any information pertaining to them that are maintained in DOI's systems
of records. The DI-4017, Consent for Disclosure of Records Protected
under the Privacy Act, form provides written consent of the individual
to whom the record pertains when disclosing records to another person
or an agency. The Privacy Act provides that ``the parent of any minor,
or the legal guardian of any individual who has been declared to be
incompetent due to physical or mental incapacity or age by a court of
competent jurisdiction, may act on behalf of the individual.''
Therefore, these forms may also be used by a parent or legal guardian.
These forms were based on the templates provided in the OMB
Memorandum M-21-04, Modernizing Access to and Consent for Disclosure of
Records Subject to the Privacy Act, issued on November 12, 2020, which
implements the requirements of the Creating Advanced Streamlined
Electronic Services for Constituents Act of 2019 (``CASES Act''). The
CASES Act was issued in an effort to modernize the Privacy Act request
process by requiring agencies to accept access and consent forms from
individuals properly identity-proofed and authenticated remotely
through a digital service option in addition to an agency's existing
process. The CASES Act also requires the forms to be posted on the
agency website's privacy program page and the website updated to
include instructions on how individuals may submit requests digitally.
Title of Collection: Access and Consent Forms.
OMB Control Number: 1093-0013.
Form Number: DI-4016 and DI-4017.
Type of Review: Extension of a currently approved collection.
Respondents/Affected Public: Individuals/households.
Total Estimated Number of Annual Respondents: 1,325.
Total Estimated Number of Annual Responses: 1,325.
Estimated Completion Time per Response: 15 minutes.
Total Estimated Number of Annual Burden Hours: 331 hours.
Respondent's Obligation: Voluntary.
Frequency of Collection: Once.
Total Estimated Annual Nonhour Burden Cost: None.
An agency may not conduct or sponsor and a person is not required
to respond to a collection of information unless it displays a
currently valid OMB control number.
The authority for this action is the Paperwork Reduction Act of
1995 (44 U.S.C. 3501 et seq.).
Jeffrey Parrillo,
Departmental Information Collection Clearance Officer.
[FR Doc. 2026-00186 Filed 1-7-26; 8:45 am]
BILLING CODE 4334-63-P
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