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: 0704-0411	ICR Reference No: 202007-0704-014
Status: Historical Active	Previous ICR Reference No: 201406-0704-002
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Exceptional Family Member Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/01/2020
	Date Received in OIRA: 07/30/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	36 Months From Approved
Responses	98,608	0	0
Time Burden (Hours)	15,617	0	0
Cost Burden (Dollars)	762,699	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	98,608	54,053	44,555
Annual Time Burden (Hours)	15,617	-4,455	20,072
Annual Cost Burden (Dollars)	762,699	113,796	648,903

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: Burden increased due to a general increase in the number of family members filling out both forms. Also, in the previously approved collection the burden for each respondent was consolidated and this time we broke it out to accurately account for the burden on each respondent.

Annual Cost to Federal Government: $504,247

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: Tomkita Karim 571 372-2101 tomkita.a.karim.civ@mail.mil

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.