View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0920-0891	ICR Reference No: 201412-0920-012
Status: Historical Active	Previous ICR Reference No: 201406-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 19888
Title: World Trade Center Health Program Enrollment, Appeals & Reimbursement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/14/2015
	Date Received in OIRA: 12/30/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	09/30/2015
Responses	66,276	0	77,243
Time Burden (Hours)	13,594	0	19,161
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	66,276	77,243	-10,967
Annual Time Burden (Hours)	13,594	19,161	-5,567
Annual Cost Burden (Dollars)	0	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This revision request incorporates changes to forms, and the consolidation of two ICRs. There is a reduction in burden hours and respondents.

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