View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No: 0720-0030	ICR Reference No: 202603-0720-002
Status: Received in OIRA	Previous ICR Reference No: 202301-0720-003
Agency/Subagency: DOD/DODOASHA	Agency Tracking No: 0720-0030
Title: Women, Infants, and Children Overseas - Eligibility Determination
Type of Information Collection: Extension without change 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	04/30/2026
Responses	20,000	29,100
Time Burden (Hours)	5,000	7,275
Cost Burden (Dollars)	163,400	52,671

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	20,000	29,100	-9,100
Annual Time Burden (Hours)	5,000	7,275	-2,275
Annual Cost Burden (Dollars)	163,400	52,671	110,729

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: Miscellaneous Actions

Short Statement: Estimates updated based on past data

Annual Cost to Federal Government: $192,250

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: 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.