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OMB Control No: 0690-0030	ICR Reference No: 202604-0690-001
Status: Received in OIRA	Previous ICR Reference No: 202305-0690-001
Agency/Subagency: DOC/OS	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
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: 07/29/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	150,090	163,500
Time Burden (Hours)	30,495	42,750
Cost Burden (Dollars)	408,917	317,205

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	150,090	163,500	-13,410
Annual Time Burden (Hours)	30,495	42,750	-12,255
Annual Cost Burden (Dollars)	408,917	317,205	91,712

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: Decrease is based on an evaluation of actual use during the previous renewal and projected future use.

Annual Cost to Federal Government: $95,969

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. 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: Sheleen Dumas 202 482-3306 sdumas@doc.gov

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