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Limited Survey of State and Local Law Enforcement
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1506-0062
IC ID: 201630
OMB.report
TREAS/FINCEN
OMB 1506-0062
ICR 201103-1506-002
IC 201630
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0062 can be found here:
2023-09-20 - Extension without change of a currently approved collection
2020-08-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Survey Email Message.doc
Instruction
Attachment #1 Annual Head of Agency Certification.pdf
Other-Statement
Attachment #2 Case Summary Example.pdf
Other-Statement Example
Draft2 Generic Clearance Submission Template.doc
FinCEN Annual Certification Requirement & Requests Case Summaries
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Limited Survey of State and Local Law Enforcement
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
31 CFR Chapter X (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Survey Email Message.doc
Yes
Yes
Paper Only
Other-Statement
Attachment #1 Annual Head of Agency Certification.pdf
Yes
Yes
Paper Only
Other-Statement Example
Attachment #2 Case Summary Example.pdf
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Criminal Investigation and Surveillance
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
140
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
140
0
140
0
0
0
Annual IC Time Burden (Hours)
420
0
420
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FinCEN Annual Certification Requirement & Requests Case Summaries
Draft2 Generic Clearance Submission Template.doc
03/22/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.