View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 4040-0019	ICR Reference No: 202507-3041-003CF
Status: Active	Previous ICR Reference No:
Agency/Subagency: CPSC	Agency Tracking No:
Title: Project Abstract Summary
Type of Information Collection: RCF New	Common Form ICR:
Type of Review Request:
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/31/2025
	Date Received in OIRA: 07/29/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2028
Responses	55	0	0
Time Burden (Hours)	55	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	55	55
Annual Time Burden (Hours)	55	55
Annual Cost Burden (Dollars)	0	0

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: No

Burden Reduction Due to:

Short Statement: CPSC is using OMB Control Number 4040-0019 to collect information for the Pool Safely and CO Monoxide Poison Prevention grant applications.

Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

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.

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.

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Cynthia Gillham 301 504-7701 cgillham@cpsc.gov

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