Information Collection

Film Evaluation: Bowling Green, OH: Diversity & Inclusion

IC 210840 under ICR 201403-1103-002 · OMB 1103-0115.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Film Evaluation: Bowling Green, OH: Diversity & Inclusion	Form
Film Evaluation: Bowling Green, OH - Diversity & Inclusi Film #5- Bowling Green, OH-Diversity & Inclusion_FINAL.docx	Form

IC Title:

Agency IC Tracking Number:

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	n/a	Film Evaluation: Bowling Green, OH - Diversity & Inclusion	Film #5- Bowling Green, OH-Diversity & Inclusion_FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	12	12
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.