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View ICR - OIRA Conclusion

OMB Control No: 0704-0447	ICR Reference No: 201710-0704-005
Status: Historical Active	Previous ICR Reference No: 201405-0704-002
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Nuclear Test Personnel Review Forms
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: 11/27/2017
	Date Received in OIRA: 10/27/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved
Responses	86	0	0
Time Burden (Hours)	71	0	0
Cost Burden (Dollars)	1,574	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Nuclear Test Personnel Review Forms	DTRA Form 150 , DTRA Form 150-A , DTRA Form 150-C , DTRA Form 150-B	, , ,

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	86	-284	370
Annual Time Burden (Hours)	71	-392	463
Annual Cost Burden (Dollars)	1,574	-9,989	11,563

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has decreased since the previous approval due to the decreasing number of claims being filed and process improvements lowering the requirements for this collection.

Annual Cost to Federal Government: $15,857

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. No

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. No

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: Ben McAlduff 480 316-1398 benjamin.d.mcalduff.ctr@mail.mil

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