Information Collection

Semi-Annual Progress Report for Technical Assistance Program

IC 179768 under ICR 200704-1122-001 · OMB 1122-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TA Provider Form Instructions 030507.pdf muskie.usm.maine.edu/vawamei/	Instruction
1122-NEW Semi-Annual Progress Report for Technical Assistance Pro TAProgram form may 29 2007.pdf muskie.usm.maine.edu/vawamei/	Form

IC Title:

Semi-Annual Progress Report for Technical Assistance Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Instruction			TA Provider Form Instructions 030507.pdf	http://muskie.usm.maine.edu/vawamei/	Yes	Yes	Printable Only
Form	1122-NEW	Semi-Annual Progress Report for Technical Assistance Program	TAProgram form may 29 2007.pdf	http://muskie.usm.maine.edu/vawamei/	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
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.