View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1405-0133	ICR Reference No: 201407-1405-005
Status: Historical Active	Previous ICR Reference No: 201105-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Affidavit Regarding A Change of Name
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: 09/12/2014
	Date Received in OIRA: 07/22/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	183,037	0	202,920
Time Burden (Hours)	122,025	0	50,730
Cost Burden (Dollars)	2,152,515	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	183,037	202,920	-19,883
Annual Time Burden (Hours)	122,025	50,730	71,295
Annual Cost Burden (Dollars)	2,152,515	0	2,152,515

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: Burden changes due to decrease in number of respondents and inclusion of respondents costs (travel time, notary costs, and photocopy costs) not included in previous submission.

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