Information Collection

List of ICs in field affected by Confidentiality Pledge

IC 224868 under ICR 201612-1121-003 · OMB 1121-0358.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Affected Information Collections.xlsx	Other-List of ICs
Director approval for emergency PRA clearance.pdf BJS Memo to OMB signed by Acting Director	IC Document
FRN for emergency clearance for BJS collections - final.docx Draft FRN	IC Document

IC Title:

Agency IC Tracking Number:

BJS

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
Other-List of ICs			Affected Information Collections.xlsx		No		Paper Only

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BJS Memo to OMB signed by Acting Director	Director approval for emergency PRA clearance.pdf	12/15/2016
Draft FRN	FRN for emergency clearance for BJS collections - final.docx	12/15/2016

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