Information Collection

COPS Customer Outreach and Information Sample

IC 198994 under ICR 201108-1103-002 · OMB 1103-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0109 can be found here:

Documents and Forms

Document Name Document Type
Collection Instrument - Sample Event Questions.docx Other-Questions communicated verball

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	COPS Customer Outreach and Information Sample	Agency IC Tracking Number:

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
Other-Questions communicated verbally			Collection Instrument - Sample Event Questions.docx		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 667

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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