View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0970-0222	ICR Reference No: 202605-0970-009
Status: Active	Previous ICR Reference No: 202509-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: National Medical Support Notice - Part A
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/04/2026
	Date Received in OIRA: 05/29/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2028	12/31/2028	12/31/2028
Responses	9,512,998	0	19,181,513
Time Burden (Hours)	1,615,119	0	3,251,272
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	9,512,998	19,181,513	-9,668,515
Annual Time Burden (Hours)	1,615,119	3,251,272	-1,636,153
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In reviewing the request in ROCIS, ACF has realized that burden was double counted by the ICs were entered into the system. ACF would like to update the request to provide the average annual burden estimates accurately. To do so, a new burden table was added to Section A12 of SSA to summarize annual burden.

Annual Cost to Federal Government: $332,060

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. No

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: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.