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View ICR - OIRA Conclusion

OMB Control No: 0704-0534	ICR Reference No: 202411-0704-004
Status: Active	Previous ICR Reference No: 202201-0704-003
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Statement of Intent
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: 05/01/2025
	Date Received in OIRA: 01/16/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2028	36 Months From Approved	04/30/2025
Responses	102	0	144
Time Burden (Hours)	153	0	198
Cost Burden (Dollars)	5,375	0	6,227

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	102	144	-42
Annual Time Burden (Hours)	153	198	-45
Annual Cost Burden (Dollars)	5,375	6,227	-852

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: Changing Forms

Short Statement: The burden has decreased since the previous approval due to the removal of the DD 2537.

Annual Cost to Federal Government: $6,690

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: Nicholas Schuff 757 817-7203 nicholas.a.schuff.ctr@mail.mil

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