REPORT OF PUBLIC SAFETY OFFICERS' DEATH

ICR 197711-1121-004

OMB: 1121-0025

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
168038
Migrated
ICR Details
1121-0025 197711-1121-004
Historical Active 197611-1121-002
DOJ/OJP
REPORT OF PUBLIC SAFETY OFFICERS' DEATH
No material or nonsubstantive change to a currently approved collection   No
Emergency 11/25/1977
Approved with change 11/25/1977
Retrieve Notice of Action (NOA) 11/25/1977
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981 12/31/1981
600 0 600
3,000 0 200
0 0 0



None
None


No

1
IC Title Form No. Form Name
REPORT OF PUBLIC SAFETY OFFICERS' DEATH

  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 600 600 0 0 0 0
Annual Time Burden (Hours) 3,000 200 0 0 2,800 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/25/1977


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