Public Safety Officer Medal of Valor Application

Public Safety Officer Medal of Valor Application

OMB: 1121-0259

IC ID: 38364

Information Collection (IC) Details

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Public Safety Officer Medal of Valor Application
 
No Modified
 
Voluntary
 
28 CFR 22

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OJP-1673/1 Public Safety Officer Medal of Valor Application for Extraordinary Valor Above and Beyond the Call of Duty MEDAL OF VALOR APPLICATION.doc http://www.ojp.usdoj.gov//medalofvalor/welcome.html. Yes Yes Fillable Fileable

Law Enforcement

Privacy Act 1974  71 FR 2006

182 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 182 0 -318 0 0 500
Annual IC Time Burden (Hours) 76 0 -424 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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