Information Collection

PACT 360 Needs Assessment Survey Instrument

IC 197974 under ICR 201106-1103-002 · OMB 1103-0108.

Documents and Forms

Document Name Document Type
PACT 360 Needs Assessment Survey Instrument Form and Instruction
COPSNEEDSASSESSMENT_9_9_webversion.pdf Form and Instruction
RevisionOverview_Design.pdf Design Overview IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PACT 360 Needs Assessment Survey Instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	None	COPSNEEDSASSESSMENT_9_9_webversion.pdf		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Design Overview	RevisionOverview_Design.pdf	09/14/2011

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