View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0730-0015	ICR Reference No: 202104-0730-001
Status: Historical Active	Previous ICR Reference No: 201802-0730-001
Agency/Subagency: DOD/DFAS	Agency Tracking No: 0730-0015
Title: Request For Information Regarding Deceased Debtor
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: 06/08/2021
	Date Received in OIRA: 04/21/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	36 Months From Approved	06/30/2021
Responses	300	0	300
Time Burden (Hours)	51	0	50
Cost Burden (Dollars)	533	0	492

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	300	300	-300	300
Annual Time Burden (Hours)	51	50	-49	50
Annual Cost Burden (Dollars)	533	492	-451	492

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Cost burden and annual burden have slightly increased due to an increased estimated wage for probate clerks.

Annual Cost to Federal Government: $303

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: Kellen Stout 317 645-3128 kellen.a.stout.civ@mail.mil

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