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View ICR - OIRA Conclusion

OMB Control No: 1240-0046	ICR Reference No: 201003-1240-046
Status: Historical Active	Previous ICR Reference No: 200507-1215-001
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: FECA Medical Report Forms, Claim for Compensation
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	09/30/2011	36 Months From Approved
Responses	2,635	0	302,485
Time Burden (Hours)	273	0	30,748
Cost Burden (Dollars)	1,186	0	121,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	2,635	302,485	-291,905	-7,945
Annual Time Burden (Hours)	273	30,748	-30,220	-255
Annual Cost Burden (Dollars)	1,186	121,000	-131,357	11,543

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 responses from the respondents decreased from 302,485 to 294,540, which is an adjustment of -7,945 responses. Accordingly, the burden hours decreased from 30,748 to 30,493 which is an adjustment of -255 burden hours. There was an increase in respondent costs due to the increase in wages for Administrative Support Occupations. In addition, the maintenance and operation costs increased from $121,000 to $132,543 due to postage and mailing costs.