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: 0703-0016	ICR Reference No: 201709-0703-002
Status: Historical Active	Previous ICR Reference No: 200803-0703-003
Agency/Subagency: DOW/NAVY	Agency Tracking No:
Title: Individual MCJROTC Instructor Evaluation Summary
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/08/2017
	Date Received in OIRA: 10/27/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved
Responses	1,018	0	0
Time Burden (Hours)	509	0	0
Cost Burden (Dollars)	19,342	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	1,018	568	450
Annual Time Burden (Hours)	509	284	225
Annual Cost Burden (Dollars)	19,342	12,614	6,728

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: Increase reflects an increase in burden hours due to an increase in the number of respondents and better evaluation.

Annual Cost to Federal Government: $8,558

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: Daniel Urchick 571 372-0403 daniel.r.urchick.ctr@mail.mil

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