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: 0720-0056	ICR Reference No: 201410-0720-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/DODOASHA	Agency Tracking No:
Title: Screening and Monitoring of DoD Personnel Deployed to Ebola Outbreak Areas
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 10/23/2014
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/22/2014
	Date Received in OIRA: 10/17/2014
Terms of Clearance: This collection is approved for six months only. If this collection will be used longer than 6 months DOD must go through the regular notice and comment process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	6 Months From Approved
Responses	2,400	0	0
Time Burden (Hours)	480	0	0
Cost Burden (Dollars)	14,438	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	2,400	2,400
Annual Time Burden (Hours)	480	480
Annual Cost Burden (Dollars)	14,438	14,438

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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