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: 0420-0549	ICR Reference No: 201401-0420-003
Status: Historical Active	Previous ICR Reference No: 201201-0420-001
Agency/Subagency: PEACE	Agency Tracking No:
Title: Report of Physical Examination
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 with change	Conclusion Date: 03/18/2014
	Date Received in OIRA: 02/10/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2014
Responses	4,000	0	8,000
Time Burden (Hours)	9,000	0	12,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	4,000	8,000	-4,000
Annual Time Burden (Hours)	9,000	12,000	-3,000
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: Miscellaneous Actions

Short Statement: There are no program changes or adjustments to report. We are making a correction to the previous submission.

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