Identity Theft Survey

ICR 200511-3084-001

OMB: 3084-0124

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
32347
Migrated
ICR Details
3084-0124 200511-3084-001
Historical Active 200302-3084-001
FTC
Identity Theft Survey
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 02/13/2006
Retrieve Notice of Action (NOA) 11/10/2005
Number of respondents and burden hours modified to correspond with the supporting statement.
  Inventory as of this Action Requested Previously Approved
02/28/2009 02/28/2009
4,900 0 0
416 0 0
0 0 0

The survey is designed to gather information on the incidence of identity theft and to inform the FTC about how best to combat it and thereby better serve people who experience it.

None
None


No

1
IC Title Form No. Form Name
Identity Theft Survey

  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 4,900 0 0 4,900 0 0
Annual Time Burden (Hours) 416 0 0 416 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
11/10/2005


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