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View ICR - OIRA Conclusion

OMB Control No: 0720-0055	ICR Reference No: 202305-0720-001
Status: Active	Previous ICR Reference No: 202210-0720-001
Agency/Subagency: DOD/DODOASHA	Agency Tracking No:
Title: Third Party Collection Program (Insurance Information)
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: 12/18/2023
	Date Received in OIRA: 11/01/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2026	36 Months From Approved	01/31/2024
Responses	5,355,000	0	5,797,500
Time Burden (Hours)	357,000	0	386,500
Cost Burden (Dollars)	11,834,550	0	11,328,315

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,355,000	5,797,500	-442,500
Annual Time Burden (Hours)	357,000	386,500	-29,500
Annual Cost Burden (Dollars)	11,834,550	11,328,315	506,235

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: The burden has decreased due to a reduction in the estimated total number of respondents. In 2022, the estimated number of respondents was 3,865,000. The number of respondents is now estimated to be 3,570,000.

Annual Cost to Federal Government: $7,839,720

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: Brandon Kim 703 344-6832 brandon.h.kim8.ctr@mail.mil

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