Information Collection Request

Electronic Data Collection System

ICR 201010-3235-020 · OMB 3235-0672 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Final TCR Supporting Statement (11-09).doc Supporting Statement A Uploaded 2010-11-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
194909 Tips, Complaints and Referral Database-Pilot Phase Other-Electronic Database New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2011 6 Months From Approved
25,000 0 0
12,500 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Tips, Complaints and Referral Database-Pilot Phase

table that charts list of burden
  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 25,000 0 0 25,000 0 0
Annual Time Burden (Hours) 12,500 0 0 12,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No