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: 3220-0030	ICR Reference No: 201201-3220-004
Status: Historical Active	Previous ICR Reference No: 200907-3220-002
Agency/Subagency: RRB	Agency Tracking No:
Title: Application for Survivor Insurance Annuities
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: 02/14/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/29/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	3,722	0	3,722
Time Burden (Hours)	1,494	0	1,529
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,722	3,722	0
Annual Time Burden (Hours)	1,494	1,529	-35
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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Implementing "Attestation" requires the creation of new Form AA-17sum. We anticipate 2,100 of the 3,722 applicants currently using the AA-17cert, will use "Attestation," resulting in a decrease in the number of Forms AA-17cert used to 900. We also propose that using "Attestation" will take one minute less to complete, decreasing the burden by 35 hours, from 1,529 to 1,494. We have shown the decrease in burden hours as a program change.