Information Collection

U.S. Holocaust Memorial Museum's Law Enforcement and Society LEAS) Questionnaire

IC 216058 under ICR 201503-1110-003 · OMB 1110-0063.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form UnNumbered USHMM Questionnaire U.S. Holocaust Memorial Museum's Law Enforcement and Society LEAS) Questionnaire	Form and Instruction
UnNumbered USHMM Questionnaire USHMM questionnaire.pdf	Form and Instruction

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 and Instruction	UnNumbered				No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	250	250
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.

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