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OMB Control No: 1405-0227	ICR Reference No: 202405-1405-001
Status: Received in OIRA	Previous ICR Reference No: 202006-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Statement of Material Change, Merger, Acquisition, or Divestiture of a Registered Party
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/14/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	698	400
Time Burden (Hours)	1,396	800
Cost Burden (Dollars)	24,430	14,000

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	698	400	298
Annual Time Burden (Hours)	1,396	800	596
Annual Cost Burden (Dollars)	24,430	14,000	10,430

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This information collection is estimated to take an average of 2 hours to execute, and DDTC expects to receive approximately 698 submissions per year; therefore, the total burden for this collection will be 1,396 hours per year.

Annual Cost to Federal Government: $232,706

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. No

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: Andrea Battista 202 663-3136