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OMB Control No: 1615-0053	ICR Reference No: 202410-1615-004
Status: Received in OIRA	Previous ICR Reference No: 202211-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-426
Title: Request for Certification of Military or Naval Service
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 11/20/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2026
Responses	10,000	10,000
Time Burden (Hours)	5,000	5,000
Cost Burden (Dollars)	245,000	245,000

Annual Cost to Federal Government: $597,245

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: Melanie Frank 202 527-4488 melanie.r.frank2@uscis.dhs.gov