View Information Collection Request (ICR) Package

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: 3220-0031	ICR Reference No: 200905-3220-003
Status: Historical Active	Previous ICR Reference No: 200603-3220-003
Agency/Subagency: RRB	Agency Tracking No:
Title: Application for Survivor Death Benefits
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: 07/27/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/26/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	36 Months From Approved	07/31/2009
Responses	11,500	0	20,600
Time Burden (Hours)	2,916	0	5,150
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	11,500	20,600	-9,100
Annual Time Burden (Hours)	2,916	5,150	-2,234
Annual Cost Burden (Dollars)	0	0	0

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 burden reduction associated with this information collection is due strictly to an adjustment in the RRB's estimate of annual responses for the collection. This was also the first time the collection was submitted via ROCIS. We had to split the ICR into two separate IC's.