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OMB Control No: 0915-0334	ICR Reference No: 202603-0915-003
Status: Received in OIRA	Previous ICR Reference No: 202401-0915-002
Agency/Subagency: HHS/HSA	Agency Tracking No: 20201
Title: Countermeasures Injury Compensation Program (CICP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/19/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	1,074	260
Time Burden (Hours)	5,223	1,327
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,074	260	814
Annual Time Burden (Hours)	5,223	1,327	3,896
Annual Cost Burden (Dollars)	0	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: The burden hours are expected to increase from 1,327 hours to 5,223 hours, due to an increase in the expected number of respondents (from 260 to 1,074). The reason for the increase is because since the last package approval there was an increase in the number of RFB packages submitted to HRSA annually.

Annual Cost to Federal Government: $2,417,385

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. 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. 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: Laura Cooper 301 443-2126 lcooper@hrsa.gov

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