Information Collection

Targeted Capacity Expansion Grants for Jail Diversion Programs - Events Tracking

IC 190658 under ICR 201209-0930-002 · OMB 0930-0277.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Event Tracking Scr Targeted Capacity Expansion Grants for Jail Diversion Programs - Events Tracking	Form and Instruction
Event Tracking Scr Event Tracking Screen D Event Screening 12.27.12.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	Event Tracking Screen	Event Tracking Screen	D Event Screening 12.27.12.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	-5,397	10,397
Annual IC Time Burden (Hours)	150	-162	312
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.