Information Collection

Salt Lake City Police Department HOST Project Stakeholder Survey

IC 212082 under ICR 201406-1103-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Salt Lake City Police Department HOST Project Stakeholder Survey	Form
Salt Lake City Police Department HOST Project Stakeholde HOST Stakeholder Survey_Final_2014.06.25.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	Salt Lake City Police Department HOST Project Stakeholder Survey	HOST Stakeholder Survey_Final_2014.06.25.docx		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	25	25
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.