Confidential Close Call Reporting System Supplementary Document

drSuppDocC3RS0574.doc

Confidential Close Call Reporting System Evaluation-Related Interview Data Collection

Confidential Close Call Reporting System Supplementary Document

OMB: 2130-0574

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INFORMATION COLLECTION

SUMMARY OF CHANGES

Confidential Close Call Reporting System Evaluation-Related Data Collection

OMB No. 2130-0574


TABLE FOR ADJUSTMENTS


Form Number

Responses & Avg. Time (Previous Submission)

Responses & Avg. Time (This Submission)

Burden Hours (Previous Submission)

Burden Hours (This Submission)


Difference

(plus/minus)

FRA F 6180.126A

133.5 forms

1 hour

192 forms

1 hour

133.5 hours

192 hours

+ 58.5 hours

+ 58.5 resp.

FRA F 6180.126B

133.5 forms

1 hour

50 forms

1 hour

133.5 hours

50 hours

-- 83.5 hours

-- 83.5 resp.


Adjustments above decreased the burden by 25 hours from the previously approved submission. The number of responses has decreased by 25 from the previously approved submission.

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File Modified2010-09-21
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