View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1121-0024	ICR Reference No: 201605-1121-001
Status: Historical Active	Previous ICR Reference No: 200404-1121-001
Agency/Subagency: DOJ/OJP	Agency Tracking No: BJA
Title: Claim for Death Benefits
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/18/2016
	Date Received in OIRA: 05/25/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved
Responses	350	0	0
Time Burden (Hours)	700	0	0
Cost Burden (Dollars)	3,281	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	350	30	320
Annual Time Burden (Hours)	700	220	480
Annual Cost Burden (Dollars)	3,281	281	3,000

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: The number of respondents increased slightly.

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