Heart of Recovery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Care Messaging Plan for OMB 4-30-18.docx	Supplementary Document	Uploaded 2018-05-01	Available
OPA Approval.PDF	Supplementary Document	Uploaded 2018-02-08	Available
R40_5.pdf	Supplementary Document	Uploaded 2018-02-02	Available
SSA Heart of Recovery_OMB 4-30-18.docx	Supporting Statement A	Uploaded 2018-05-01	Available
SSB Heart of Recovery_OMB 4-30-18.doc	Supporting Statement B	Uploaded 2018-05-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231293	Heart Of Recovery	Other-Survey	New

ICR Details

OMB Control No: 0702-0143	ICR Reference No: 201801-0702-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOD/DOA	Agency Tracking No: 0702-AADA
Title: Heart of Recovery
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/01/2018
	Date Received in OIRA: 02/15/2018
Terms of Clearance: If the program wants to expand this survey to additional bases, they must seek OMB approval before doing so.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	2,500	0	0
Cost Burden (Dollars)	40,000	0	0

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Abstract: Caregivers play a vital role in the health and wellbeing of Soldiers in the military. According to the 2014 RAND Hidden Heroes report, caregivers experience worse health outcomes, greater relationship strain, and more workplace problems compared to non-caregivers (RAND Hidden Heroes Report, 2014). In order to better serve caregivers, it is critical to determine the level of burden experience by providing caregiver support, identify the health status of the caregiver population, and determine the services used and/or needed to provide caregiver support.

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Authorizing Statute(s): US Code: 40 USC 5 Name of Law: U.S. Army Regulation 40-5 “Preventive Medicine”
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 1327	01/05/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 4190	01/30/2018
Did the Agency receive public comments on this ICR? Yes

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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
Heart Of Recovery

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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	5,000	0	0	5,000	0	0
Annual Time Burden (Hours)	2,500	0	0	2,500	0	0
Annual Cost Burden (Dollars)	40,000	0	0	40,000	0	0

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: This is a New Collection.

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Annual Cost to Federal Government: $35,850

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? 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: 02/15/2018

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