Information Collection

Project Safe Neighborhood Semi-Annual Researcher Reporting Form

IC 12596 under ICR 200612-1121-003 · OMB 1121-0271.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PSN Crime Reportin PSN Crime Reporting Form Project Safe Neighborhood Semi-Annual Researcher Reporting Form	Form
PSN Crime Reportin PSN Crime Reporting Form PSN CRIME REPORTING FORM 2006.doc www.ojp.usdoj.gov/BJA/grant/psn.html	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	PSN Crime Reporting Form			http://www.ojp.usdoj.gov/BJA/grant/psn.html	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 93

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	186	186
Annual IC Time Burden (Hours)	186	186
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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