Information Collection

Technical Assistance Provider Conference Planning and Conference Cost Quarterly Reporting Form

IC 188082 under ICR 200902-1122-002 · OMB 1122-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1122-XXXX Technical Assistance Provider Conference Planning and Conference Cost Quarterly Reporting Form	Form
1122-XXXX Technical Assistance Provider Conference Planning and Co Conference Reporting Form.xls www.ovw.usdoj.gov/	Form
TAConfreportstatutepubliclaw.doc federal law	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

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
Form	1122-XXXX	Technical Assistance Provider Conference Planning and Conference Cost Quarterly Reporting Form	Conference Reporting Form.xls	http://www.ovw.usdoj.gov/	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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
federal law	TAConfreportstatutepubliclaw.doc	02/17/2009

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