View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0720-0070	ICR Reference No: 202509-0720-003
Status: Active	Previous ICR Reference No: 202201-0720-004
Agency/Subagency: DOW/DODOASHA	Agency Tracking No: 0720-0070
Title: Childbirth and Breastfeeding Demonstration Survey
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 with change	Conclusion Date: 03/19/2026
	Date Received in OIRA: 11/20/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved
Responses	5,925	0	0
Time Burden (Hours)	988	0	0
Cost Burden (Dollars)	31,106	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	5,925	5,925
Annual Time Burden (Hours)	988	988
Annual Cost Burden (Dollars)	31,106	31,106

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: This is an updated collection with a revised associated burden. Nine survey questions are added to this survey for more targeted information collection on the demonstration. These additions have resulted in a slight increase in estimated response time (9 minutes to 10 minutes). However, overall, the estimated respondent burden has decreased because of a significant revision to our expected response rate based on the response rate observed in previous fielding of the survey.

Annual Cost to Federal Government: $301,129

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: Amanda Grifka 555 555-5555 amanda.b.grifka.civ@health.mil

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.