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OMB Control No: 0990-0407	ICR Reference No: 202603-0990-001
Status: Received in OIRA	Previous ICR Reference No: 202208-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: OMH Think Cultural Health
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/20/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	240,940	23,156
Time Burden (Hours)	12,580	2,004
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	240,940	23,156	217,784
Annual Time Burden (Hours)	12,580	2,004	10,576
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: Our estimated burden for the information collection reflects an overall increase of 10,576 hours and a corresponding increase of 217,784 responses. We attribute this adjustment to the number of TCH responses used during the current approval and now estimated for the next 3 years. As a result, we have adjusted our burden estimate and revised the number of respondents to the information collection.

Annual Cost to Federal Government: $533,120

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: Catherine Howard 202 768-2368 catherine.howard@hhs.gov

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