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View ICR - OIRA Conclusion

OMB Control No: 0720-0058	ICR Reference No: 201907-0720-001
Status: Historical Active	Previous ICR Reference No: 201604-0720-002
Agency/Subagency: DOW/DODOASHA	Agency Tracking No:
Title: Department of Defense Suicide Event Report (DoDSer)
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: 10/23/2019
	Date Received in OIRA: 08/29/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	10/31/2019
Responses	1,563	0	1,375
Time Burden (Hours)	261	0	229
Cost Burden (Dollars)	5,580	0	3,266

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,563	1,375	188
Annual Time Burden (Hours)	261	229	32
Annual Cost Burden (Dollars)	5,580	3,266	2,314

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: There has been a slight increase in burden since the last OMB review in 2016. The estimated number of respondents has increased from 1,375 to 1,563. The approved burden hours estimate (229) and cost burden ($3,266.00) have increased to 260.5 hours and $5,582.51. This change is due to increased use of the DoDSER.

Annual Cost to Federal Government: $40,000

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: Kira Starks 571 372-4529 danikquia.k.starks.ctr@mail.mil

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