Information Collection

Incident Report Form/System

IC 210253 under ICR 201402-0704-001 · OMB 0704-0514.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0514 can be found here:

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

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	3,208	3,208

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.