View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0704-0502	ICR Reference No: 201708-0704-001
Status: Historical Active	Previous ICR Reference No: 201504-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No: 0704-0502
Title: Federal Write-In Absentee Ballot (FWAB)
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: 09/13/2017
	Date Received in OIRA: 08/09/2017
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	05/31/2018
Responses	1,200,000	0	1,200,000
Time Burden (Hours)	300,000	0	300,000
Cost Burden (Dollars)	6,756,000	0	6,381,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,200,000	1,200,000	0
Annual Time Burden (Hours)	300,000	300,000	0
Annual Cost Burden (Dollars)	6,756,000	6,381,000	375,000

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:

Annual Cost to Federal Government: $64,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Ian Armstrong 571 372-7677 ian.a.armstrong5.ctr@mail.mil

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.