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OMB Control No: 0910-0832	ICR Reference No: 202606-0910-001
Status: Received in OIRA	Previous ICR Reference No: 202210-0910-005
Agency/Subagency: HHS/FDA	Agency Tracking No: OII
Title: Certification of Identity for Freedom of Information and Privacy Act Requests
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: 06/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	24	24
Time Burden (Hours)	12	4
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	24	24	0
Annual Time Burden (Hours)	12	4	8
Annual Cost Burden (Dollars)	0	0	0

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: No

Burden Reduction Due to:

Short Statement: There are no changes to the information collection. ROCIS reflects an increase in burden hours; however, this increase does not represent a programmatic change. During the previous renewal, the estimated burden per response was inadvertently reported as 0.17 hours instead of 0.5 hours. This submission corrects that error and the resulting increase in total annual burden hours is solely attributable to the correction of the previously reported burden estimate.

Annual Cost to Federal Government: $1,217

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: Patrick Clouser 240 402-5276 patrick.clouser@fda.hhs.gov

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