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View ICR - OIRA Conclusion

OMB Control No: 0923-0057	ICR Reference No: 202004-0923-001
Status: Historical Active	Previous ICR Reference No: 201704-0923-001
Agency/Subagency: HHS/TSDR	Agency Tracking No: 0923-17IV
Title: APPLETREE Performance Measures
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: 09/28/2020
	Date Received in OIRA: 04/17/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	36 Months From Approved	09/30/2020
Responses	1,886	0	1,575
Time Burden (Hours)	267	0	272
Cost Burden (Dollars)	9,947	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,886	1,575	311
Annual Time Burden (Hours)	267	272	-5
Annual Cost Burden (Dollars)	9,947	0	9,947

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a net reduction in the total estimated burden hours. Four short forms were added. Burden estimates for existing forms were revised downward based on experience and deletion of superfluous or redundant questions.

Annual Cost to Federal Government: $11,028,595

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]? 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? No

Agency Contact: Renita Macaluso 770 488-6458 arp5@cdc.gov

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