Information Collection

Mediation Information Collection

IC 206476 under ICR 201304-1103-002 · OMB 1103-0112.

Documents and Forms

Document Name Document Type
Mediation Information Collection Form and Instruction
Pre-Training Police Questionnaire FINAL pre-training police questionnaire.docx Form and Instruction
Post-Training Police Questionnaire FINAL Post-training police questionnaire.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mediation Information Collection	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	N/A	Pre-Training Police Questionnaire	FINAL pre-training police questionnaire.docx		No		Paper Only
Form and Instruction	N/A	Post-Training Police Questionnaire	FINAL Post-training police questionnaire.docx		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	28	28
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.