View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3220-0038	ICR Reference No: 201609-3220-001
Status: Historical Active	Previous ICR Reference No: 201412-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Medical Reports
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: 12/12/2016
	Date Received in OIRA: 09/28/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	04/30/2018
Responses	36,500	0	35,900
Time Burden (Hours)	10,201	0	10,001
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	36,500	35,900	600
Annual Time Burden (Hours)	10,201	10,001	200
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: No

Burden Reduction Due to:

Short Statement: With the addition of new Form Rl-11D1, the annual responses will increase by 600, from 35,900 to 36,500 and the burden hours will increase by 200, from 10,001 to 10,201. We are showing the increase as a program change.

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