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View ICR - OIRA Conclusion

OMB Control No: 0704-0447	ICR Reference No: 202010-0704-001
Status: Historical Active	Previous ICR Reference No: 201710-0704-005
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Nuclear Test Personnel Review Forms
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: 02/18/2021
	Date Received in OIRA: 01/15/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2024	36 Months From Approved	02/28/2021
Responses	278	0	86
Time Burden (Hours)	113	0	71
Cost Burden (Dollars)	2,717	0	1,574

Authorizing Statute(s): PL: Pub.L. 98 - 542 xxx Name of Law: The Veterans' Dioxin and Radiation Exposure Compensation Standards Act
   PL: Pub.L. 115 - 232 581 Name of Law: John S. McCain National Defense Authorization Act for Fiscal Year 2019
   US Code: 38 USC 1154 Name of Law: Veteran's Benefits
   US Code: 42 USC 2210 Name of Law: Radiation Exposure Compensation Act
   US Code: 38 USC 1112 Name of Law: Veteran's Benefits

Citations for New Statutory Requirements: PL: Pub.L. 115 - 232 581 Name of Law: John S. McCain National Defense Authorization Act for Fiscal Year 2019

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Nuclear Test Personnel Review Forms	DTRA Form 150, DTRA Form 150-A, DTRA Form 150 B, DTRA Form 150 D	, , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	278	86	192
Annual Time Burden (Hours)	113	71	42
Annual Cost Burden (Dollars)	2,717	1,574	1,143

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: Burden increase due to the addition of the Atomic Veterans Service Certificate Application authorized by the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (PL 115-232, Sec 581).

Annual Cost to Federal Government: $26,595

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: Nicholas Schuff 757 817-7203 nicholas.a.schuff.ctr@mail.mil

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