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View ICR - OIRA Conclusion

OMB Control No: 1240-0024	ICR Reference No: 201003-1240-024
Status: Historical Active	Previous ICR Reference No: 200509-1215-003
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Certificate of Medical Necessity
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: 03/12/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/12/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	36 Months From Approved
Responses	3,200	0	4,000
Time Burden (Hours)	1,253	0	1,567
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	3,200	4,000	-800
Annual Time Burden (Hours)	1,253	1,567	-314
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: There has been an adjustment in the burden hours from 1,567 to 1,253 which is a decrease of -314 burden hours due to a decrease in the number of miner beneficiaries who are eligible for medical benefits. There has also been a decrease in responses from the previous submission of 4,000 to 3,200 which is a decrease of -800.