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View ICR - OIRA Conclusion

OMB Control No: 0920-0891	ICR Reference No: 202502-0920-001
Status: Active	Previous ICR Reference No: 202408-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0891
Title: [NIOSH] World Trade Center Health Program Enrollment, Appeals & Reimbursement
Type of Information Collection: Reinstatement with change of a previously 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: 03/28/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2028	36 Months From Approved
Responses	34,877	0	0
Time Burden (Hours)	14,332	0	0
Cost Burden (Dollars)	150,967	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	34,877	5,158	29,719
Annual Time Burden (Hours)	14,332	1,079	13,253
Annual Cost Burden (Dollars)	150,967	4,550	146,417

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision ICR for 0920-0891 is submitted for enrollment of Pentagon/Shanksville, PA responders to the Program and to add Youth Research Cohort Registration Forms. Overall burden associated with this data collection will increase to 14,332 hours.

Annual Cost to Federal Government: $323,775

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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