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OMB Control No:	ICR Reference No: 202605-1094-001
Status: Received in OIRA	Previous ICR Reference No: 202401-1094-001
Agency/Subagency: DOI/OHA	Agency Tracking No: RIN 1094-AA57 (Final Rule)
Title: Office of Hearings and Appeals Procedural Regulations (43 CFR Part 4)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/21/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	443	0
Time Burden (Hours)	457	0
Cost Burden (Dollars)	584	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	443	443
Annual Time Burden (Hours)	457	457
Annual Cost Burden (Dollars)	584	584

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request for a new OMB control number in conjunction with information collection associated with our final rule (RIN 1094-AA57)

Annual Cost to Federal Government: $333,736

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: Jeffrey Parrillo 202 208-7072 jeffrey_parrillo@ios.doi.gov

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