Information Collection

Cops & Cars: Reducing Law Enforcement Officer Deaths in Motor Vehicle Crashes - Police and Sheriffs Patrol Officers

IC 197964 under ICR 201106-0920-004 · OMB 0920-0894.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 4_LEO MVC Survey Tool.rtf	Other-WORD
postcard.pdf postcard	IC Document
Studyflyer.pdf Studyflyer	IC Document
CopRecruitmentLetter.doc CopRecruitmentLetter	IC Document
emailscript.docx emailscript	IC Document
copsrecruitment_script.docx copsrecruitment_script	IC Document
Document.pdf Document	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-WORD			Att 4_LEO MVC Survey Tool.rtf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,467

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	2,467	2,467
Annual IC Time Burden (Hours)	822	822
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
postcard	postcard.pdf	08/10/2011
Studyflyer	Studyflyer.pdf	08/10/2011
CopRecruitmentLetter	CopRecruitmentLetter.doc	08/10/2011
emailscript	emailscript.docx	08/10/2011
copsrecruitment_script	copsrecruitment_script.docx	08/10/2011
Document	Document.pdf	08/10/2011

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