View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1615-0114	ICR Reference No: 201510-1615-007
Status: Historical Active	Previous ICR Reference No: 201307-1615-004
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-910
Title: Application for Civil Surgeon Designation
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: 05/10/2016
	Date Received in OIRA: 10/30/2015
Terms of Clearance: Approved for two years only due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved	05/31/2016
Responses	725	0	923
Time Burden (Hours)	1,450	0	1,708
Cost Burden (Dollars)	3,625	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	725	923	-198
Annual Time Burden (Hours)	1,450	1,708	-258
Annual Cost Burden (Dollars)	3,625	0	3,625

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: The overall decrease in hour burden is due to the reduced number of respondents estimated to respond to this collection of information.

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