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OMB Control No: 0704-0561	ICR Reference No: 202603-0704-001
Status: Received in OIRA	Previous ICR Reference No: 202301-0704-003
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Defense Counterintelligence and Security Agency (DCSA) Freedom of Information / Privacy Act Request for Adjudication Records
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/31/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2026
Responses	1,005	120
Time Burden (Hours)	84	10
Cost Burden (Dollars)	2,735	232

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,005	120	885
Annual Time Burden (Hours)	84	10	74
Annual Cost Burden (Dollars)	2,735	232	2,503

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: The burden has increased due to a significant rise in the number of respondents since our previous submission is due to the discontinuation of other informal request templates and the socialization of the form to more of the population.

Annual Cost to Federal Government: $100,522

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: Gabby DeFusco 571 469-7802 marie.k.defusco.ctr@mail.mil

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