Information Collection

Authorized representatives notification

IC 204763 under ICR 201211-1121-003 · OMB 1121-0321.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0321 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Authorized representatives notification	Form
Authorized representatives notification 2 - NIJ CTP Authorized Representatives Notification - 2012 06 21.docx	Form

IC Title:

Authorized representatives notification

Agency IC Tracking Number:

NIJ

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
Form	none	Authorized representatives notification	2 - NIJ CTP Authorized Representatives Notification - 2012 06 21.docx	none	No		Printable Only

Line of Business: Law Enforcement

Subfunction: Leadership Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	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.