Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1240-0025	ICR Reference No: 201506-1240-013
Status: Historical Active	Previous ICR Reference No: 201506-1240-002
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Request for Earnings Information Report
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: 09/30/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	09/30/2015
Responses	100	0	1,100
Time Burden (Hours)	25	0	275
Cost Burden (Dollars)	45	0	459

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	100	1,100	-1,000
Annual Time Burden (Hours)	25	275	-250
Annual Cost Burden (Dollars)	45	459	-414

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: The cost burden requested is $45. The cost burden requested in the previous collection was originally $528 then later adjusted to $459 to account for the 13% reduction estimated with the introduction of the Secure Electronic Access Portal (SEAPortal), which allows documents to be electronically uploaded to the claimant's case file. The adjustment from the $459 to the current $45 is due to a decrease in reporting under the Act.