NAMRS Case Component

National Adult Maltreatment Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0054 can be found here:

Documents and Forms

Document Name Document Type
Form 3 NAMRS Case Component Form and Instruction
3 NAMRS Case Component NAMRS Case Component Data Specifications_Attachment C_06092016.docx Form and Instruction
NAMRS Definitions of Code Values_Attachment D_06092016.docx NAMRS Definition of Code Values IC Document

Information Collection (IC) Details

IC Title:	NAMRS Case Component	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	NAMRS Case Component	NAMRS Case Component Data Specifications_Attachment C_06092016.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NAMRS Definition of Code Values	NAMRS Definitions of Code Values_Attachment D_06092016.docx	08/18/2016

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