Information Collection

One-Week Post-Satisfaction Survey

IC 235552 under ICR 201606-1103-003 · OMB 1103-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1103-0117 One-Week Post-Satisfaction Survey	Form and Instruction
1103-0117 One-Week Post Satisfaction Survey TA Applicant One Week Post-TA Impact Survey GEN IC 1103-0117.docx	Form and Instruction
Generic Clearance Submission Template - 04012019-COPS Survey Instrument .docx One-Week Post-Satisfaction Survey	IC Document

IC Title:

One-Week Post-Satisfaction Survey

Agency IC Tracking Number:

1103-0117

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	1103-0117	One-Week Post Satisfaction Survey	TA Applicant One Week Post-TA Impact Survey GEN IC 1103-0117.docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One-Week Post-Satisfaction Survey	Generic Clearance Submission Template - 04012019-COPS Survey Instrument .docx	04/02/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.