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View ICR - OIRA Conclusion

OMB Control No: 0704-0559	ICR Reference No: 202409-0704-007
Status: Active	Previous ICR Reference No: 202106-0704-013
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Application for Surrogate Association for DoD Self-Service (DS) Logon
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: 12/18/2024
	Date Received in OIRA: 11/14/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	36 Months From Approved	12/31/2024
Responses	2,500	0	5,000
Time Burden (Hours)	333	0	500
Cost Burden (Dollars)	11,737	0	13,600

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	2,500	5,000	-2,500
Annual Time Burden (Hours)	333	500	-167
Annual Cost Burden (Dollars)	11,737	13,600	-1,863

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: Burden decreased due to a decrease in respondents.

Annual Cost to Federal Government: $1,980

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

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