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View ICR - OIRA Conclusion

OMB Control No: 0920-0891	ICR Reference No: 202408-0920-004
Status: Historical Active	Previous ICR Reference No: 202402-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0891
Title: [NIOSH] World Trade Center Health Program Enrollment, Appeals & Reimbursement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 09/11/2024
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/12/2024
	Date Received in OIRA: 09/11/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2025	6 Months From Approved	09/30/2025
Responses	29,719	0	28,977
Time Burden (Hours)	13,253	0	12,882
Cost Burden (Dollars)	146,417	0	146,417

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	29,719	28,977	742
Annual Time Burden (Hours)	13,253	12,882	371
Annual Cost Burden (Dollars)	146,417	146,417	0

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: Emergency Revision of 0920-0891 package results in increase of 371 burden hours to permit enrollment of Pentagon/Shanksville, PA responders to the WTCHP.

Annual Cost to Federal Government: $323,763

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: Jeffrey Zirger 404 639-7118 wtj5@cdc.gov

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