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OMB Control No: 0704-0635	ICR Reference No: 202607-0704-001
Status: Received in OIRA	Previous ICR Reference No: 202606-0704-003
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Military Experiences, Risk and Protective Factors, and Adolescent Health and Well-Being
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/06/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2027
Responses	4,660	3,776
Time Burden (Hours)	2,330	1,888
Cost Burden (Dollars)	16,893	13,688

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	4,660	3,776	884
Annual Time Burden (Hours)	2,330	1,888	442
Annual Cost Burden (Dollars)	16,893	13,688	3,205

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: The burden decreased due to the elimination of the Parent Survey.

Annual Cost to Federal Government: $620,015

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. No

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: LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.ctr@mail.mil

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