Department of Defense M256A1 Outreach

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5475	Department of Defense M256A1 Outreach		Migrated

ICR Details

OMB Control No: 0704-0399	ICR Reference No: 199709-0704-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Department of Defense M256A1 Outreach
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/10/1997
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/21/1997
	Date Received in OIRA: 09/16/1997
Terms of Clearance: This effort is approved in concept through 5/98, however, OMB is unable to approve the specific instrument, sample methodology, and survey protocol until feedback is received from the VA, CDC and and the Presidential Advisory Committee on Gulf War Veterans' Illnesses. In the future, DoD should consult with VA and CDC and describe the result of these consultations in the sup porting Statement of OMB submissions. In addition, DoD failed to address an important issue raised in May 1997 discussions with DoD on this project. DoD does not describe how this project will relate to future planned efforts to research chemical detection and does not explain how this effort will be linked with other DoD research (such as the Khamisiyah outreach effort) and VA and CDC studies containing questions on exposures. Prior to fielding this effort, DoD must address these concerns and discuss with OMB other issues pertaining to sample sources, project scope, non- nonresponse and bias, recall bias, and statistical validity. OMB expects to expeditiously complete its review of this additional material and to achieve an understanding of how this effort will support the Administration's broader Gulf War research agenda.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1998	05/31/1998
Responses	777	0	0
Time Burden (Hours)	583	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection is necessary to facilitate the investigation of possible, positive M256A1 chemical warfare agent detections at different dates and locations in the Kuwait Theater of Operations. The information collected will be used to determine which Gulf War units and veterans may have further information about these incidents, discover if there were any other observed detections, contribute to a better understanding of the events during and after the Gulf War, and encourage enrollment in a DoD or VA clinical program. Respondents are 777 Persian Gulf War veterans who are not....

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Department of Defense M256A1 Outreach

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	777	0	0	777	0	0
Annual Time Burden (Hours)	583	0	0	583	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/16/1997

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