View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1240-0041	ICR Reference No: 202406-1240-002
Status: Active	Previous ICR Reference No: 202105-1240-001
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Notice of Payments
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: 08/26/2024
	Date Received in OIRA: 07/24/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	36 Months From Approved	08/31/2024
Responses	32,016	0	33,000
Time Burden (Hours)	5,336	0	5,500
Cost Burden (Dollars)	1,440	0	3,630

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	32,016	33,000	-984
Annual Time Burden (Hours)	5,336	5,500	-164
Annual Cost Burden (Dollars)	1,440	3,630	-2,190

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: No

Burden Reduction Due to:

Short Statement: The reduction in hour burden is due to a reduction in the number of forms received. Cost burden to respondents has decreased due to the decrease in responses and greater percentage of respondents filing their LS-208 forms electronically.

Annual Cost to Federal Government: $246,618

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: John Palmerin 415 241-3478 palmerin.john@dol.gov

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