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: 3206-0179	ICR Reference No: 201005-3206-003
Status: Historical Active	Previous ICR Reference No: 200707-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: RI 30-10, Disabled Dependent Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/24/2010
	Date Received in OIRA: 05/04/2010
Terms of Clearance: OMB is approving this collection for one year with the following terms of clearance. OMB guidance asks agencies to take steps to reduce the use of Social Security Numbers (SSNs), where appropriate. Upon next submission, OPM will provide a full written explanation of why the new collection of SSNs is necessary.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	09/30/2010
Responses	2,500	0	2,500
Time Burden (Hours)	2,500	0	2,500
Cost Burden (Dollars)	0	0	0

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.