Information Collection

CP-SAT Short Form

IC 211533 under ICR 201405-1103-001 · OMB 1103-0105.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0105 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CP-SAT Short Form	Form and Instruction
CP-SAT Short Form CP-SAT Short Form_for agencies.pdf	Form and Instruction
CP-SAT Short Form Spanish translation CP-SAT Short Form_Spanish translation - survey only_3 5 2012.pdf	Form and Instruction

IC Title:

CP-SAT Short Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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 and Instruction	n/a	CP-SAT Short Form	CP-SAT Short Form_for agencies.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	n/a	CP-SAT Short Form Spanish translation	CP-SAT Short Form_Spanish translation - survey only_3 5 2012.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62,684

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62,684	62,684
Annual IC Time Burden (Hours)	15,671	15,671
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.