Information Collection

Problem-Solving Partnerships: Analysis and Assessment Surveys

IC 11643 under ICR 199904-1103-001 · OMB 1103-0056.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Problem-Solving Partnerships: Analysis and Assessment Surveys

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	COPS-29/01				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 470

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	940	940
Annual IC Time Burden (Hours)	861	861
Annual IC Cost Burden (Dollars)	5,687,000	5,687,000

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.

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