View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0702-0144	ICR Reference No: 202107-0702-001
Status: Historical Active	Previous ICR Reference No: 201805-0702-002
Agency/Subagency: DOW/DOA	Agency Tracking No:
Title: Survivor Advisory Working Group Application
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: 08/23/2021
	Date Received in OIRA: 07/20/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2024	36 Months From Approved	08/31/2021
Responses	20	0	175
Time Burden (Hours)	40	0	306
Cost Burden (Dollars)	290	0	2,220

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	20	175	-130	-25
Annual Time Burden (Hours)	40	306	-260	-6
Annual Cost Burden (Dollars)	290	2,220	-1,885	-45

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: Burden significantly reduced due to the elimination of the telephone interview portion of the application process. Additionally, the application process starts with a much smaller pool of applicants than previously.

Annual Cost to Federal Government: $580

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

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