Information Collection

Leep Assessment Instrument (continuing Assessment)

IC 120187 under ICR 197901-1121-001 · OMB 1121-0036.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

LEEP ASSESSMENT INSTRUMENT (CONTINUING ASSESSMENT)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	LEAA 5260,	No	No
Form	& 52601	No	No
Form	OJARS 5620-5	No	No
Form	260/1	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	-100	1,100
Annual IC Time Burden (Hours)	1,160	-2,140	3,300
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.