View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0607-0970	ICR Reference No: 201204-0607-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2012 National Census Test
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/15/2012
	Date Received in OIRA: 05/08/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	03/31/2013
Responses	100,000	0	0
Time Burden (Hours)	16,668	0	0
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
2012 National Census Test	DA-1

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	100,000	100,000
Annual Time Burden (Hours)	16,668	16,668
Annual Cost Burden (Dollars)	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: This collection is submitted as new.

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