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View ICR - OIRA Conclusion

OMB Control No: 1240-0029	ICR Reference No: 201102-1240-002
Status: Historical Active	Previous ICR Reference No: 201003-1240-029
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Request for Examination and/or Treatment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/01/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/03/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	05/31/2011
Responses	144,000	0	75,000
Time Burden (Hours)	78,000	0	81,000
Cost Burden (Dollars)	3,417,840	0	3,558,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	144,000	75,000	69,000
Annual Time Burden (Hours)	78,000	81,000	-3,000
Annual Cost Burden (Dollars)	3,417,840	3,558,000	-140,160

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There is a decrease of 3,240 burden hours since the last clearance submission due to a decrease in reporting under the Act. There has been a decrease in the operation and maintenance cost from $3,558,000 to $3,417,840 (-$140,160) due to a decrease in reporting under the Act. DOL has also disaggregated the burden estimates to reflect that individuals or households are respondents, resulting in an increase of 69,000 responses.