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Incident Report Form/System
Police Center Records (POLC)
OMB: 0704-0514
IC ID: 210253
OMB.report
DOD/DODDEP
OMB 0704-0514
ICR 201402-0704-001
IC 210253
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0514 can be found here:
2022-10-31 - Extension without change of a currently approved collection
2019-05-23 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
PAS for RMS (PoliceCenter) .docx
Other-System Notices
DLA 635 Incident Report
DLA 635 REVISED.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Incident Report Form/System
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
Other-System Notices
PAS for RMS (PoliceCenter) .docx
Yes
Yes
Fillable Fileable
Form and Instruction
DLA 635
Incident Report
DLA 635 REVISED.pdf
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
220
0
0
0
220
0
Annual IC Time Burden (Hours)
110
0
0
0
110
0
Annual IC Cost Burden (Dollars)
3,208
0
0
0
3,208
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.