Information Collection

Limited Survey of State and Local Law Enforcement

IC 201630 under ICR 201103-1506-002 · OMB 1506-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1506-0062 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Instrument File	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	420	420
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.