View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0990-0221	ICR Reference No: 201909-0990-001
Status: Historical Active	Previous ICR Reference No: 201604-0990-005
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 19606
Title: Family Planning Annual Report: Forms and Instructions
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: 01/02/2020
	Date Received in OIRA: 10/30/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved	12/31/2019
Responses	93	0	93
Time Burden (Hours)	3,348	0	3,348
Cost Burden (Dollars)	205,251	0	205,251

Annual Cost to Federal Government: $411,600

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? Yes

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: Cynda Hall 240 453-2850 cynda.hall@hhs.gov

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