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: 1140-0056	ICR Reference No: 202004-1140-005
Status: Historical Active	Previous ICR Reference No: 201702-1140-002
Agency/Subagency: DOJ/ATF	Agency Tracking No:
Title: Special Agent Medical (Preplacement/Incumbent)
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: 07/01/2020
	Date Received in OIRA: 04/23/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	06/30/2020
Responses	288	0	120
Time Burden (Hours)	216	0	90
Cost Burden (Dollars)	3,600	0	1,440

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	288	120	168
Annual Time Burden (Hours)	216	90	126
Annual Cost Burden (Dollars)	3,600	1,440	2,160

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: The adjustments associated with this collection include an increase in the both the number of respondents and total burden hours associated with this IC from by 168 and 126 hours respectively. Due to more respondents and an increase in the postal rate, the public cost has also increased by $ 2,160, since the last renewal in 2017.

Annual Cost to Federal Government: $300

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? No

Agency Contact: Daniel Murray 202 648-9098

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