Information Collection Request

Camp Lejeune Notification Database

ICR 202605-0712-001 · OMB 0712-0011 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0712-0011_Draft-PIA_3.3.2026.pdf Supplementary Document Uploaded 2026-05-07 Available
0712-0011 _Registration Letter_Supplementary Document_2025.06.11.PDF Supplementary Document Uploaded 2026-05-07 Available
0712-0011_SSA_5.13.2026.docx Supporting Statement A Uploaded 2026-05-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
185160 Camp Lejeune Drinking Water Notification Registry Other-Website Screenshots Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2026
3,000 10,000
300 1,000
10,836 28,010





Reginfo record details
1
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IC Title Form No. Form Name
Camp Lejeune Drinking Water Notification Registry

table that charts list of burden
  Total Request 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 3,000 10,000 0 -7,000 0 0
Annual Time Burden (Hours) 300 1,000 0 -700 0 0
Annual Cost Burden (Dollars) 10,836 28,010 0 -17,174 0 0


Reginfo record details
  No