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View ICR - OIRA Conclusion

OMB Control No: 0704-0425	ICR Reference No: 202303-0704-007
Status: Active	Previous ICR Reference No: 202001-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Application for Department of Defense Impact Aid for Children with Severe Disabilities
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: 05/16/2023
	Date Received in OIRA: 04/12/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	36 Months From Approved	05/31/2023
Responses	150	0	50
Time Burden (Hours)	401	0	400
Cost Burden (Dollars)	14,650	0	14,650

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	150	50	100
Annual Time Burden (Hours)	401	400	1
Annual Cost Burden (Dollars)	14,650	14,650	0

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: Respondent burden has increased from 50 to 150 to accurately reflect three separate respondent groups. The overall cost burden is unchanged as costs have already been calculated with all three groups in mind.

Annual Cost to Federal Government: $18,800

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: LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.ctr@mail.mil

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