PACT 360 Needs Assessment Survey Instrument

COPS Police and Communities Together (PACT) 360 Needs Assessment Survey

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

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.