COPS Supplemental Assistance Request Form

ICR 199509-1100-001

OMB: 1100-0012

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
118877 Migrated
ICR Details
1100-0012 199509-1100-001
Historical Active 199510-1103-001
DOJ
COPS Supplemental Assistance Request Form
New collection (Request for a new OMB Control Number)   No
Expedited
Approved without change 09/29/1995
Retrieve Notice of Action (NOA) 09/27/1995
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998
7,500 0 0
11,250 0 0
0 0 0

The COPS Supplemental Assistance Request Form will collect information from agencies holding COPS Phase I, COPS FAST, COPS AHEAD, and COPS MORE grants concerning their requests for supplemental awards in the areas of technology, equipment, personnel, and training. Awards will be made on a one-time basis to supplement current grant awards.

None
None


No

1
IC Title Form No. Form Name
COPS Supplemental Assistance Request Form 015/01

  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 7,500 0 0 7,500 0 0
Annual Time Burden (Hours) 11,250 0 0 11,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/27/1995


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