View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1615-0114	ICR Reference No: 201610-1615-039
Status: Historical Active	Previous ICR Reference No: 201510-1615-007
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-910
Title: Application for Civil Surgeon Designation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/31/2016
	Date Received in OIRA: 10/25/2016
Terms of Clearance: Previous terms of clearance continue to apply. USCIS may continue to use the previous version of the instrument until December 23, 2016.

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

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	725	725
Annual Time Burden (Hours)	1,450	1,450
Annual Cost Burden (Dollars)	3,625	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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