Information Collection

OLIPA Survey Forms

IC 228474 under ICR 201708-3225-001 · OMB 3225-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3225-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CSOSA - 2 OLIPA Survey Forms	Form and Instruction
CSOSA - 2 Community Resource Day Program Presenter Feedback Survey community resource day presenter feedback - omb version 9-21-17.docx	Form and Instruction
CSOSA - 5 Community Service Program Participant Feedback Survey OLIPA survey - community service participant feedback - omb version 9-21-17.docx	Form and Instruction
CSOSA - 4 MPD Partnership Training Session Survey OLIPA survey - mpd partnership training - omb version 9-21-17.docx	Form and Instruction
CSOSA - 1 Community Resource Day Program Participant Feedback Surv OLIPA survey- community resource day PARTICIPANT - omb version 9-21-17.docx	Form and Instruction
CSOSA - 3 Community Justice Advisory Network (CJAN) Meeting Partic OLIPA survey- CJAN participant feed back - omb version 9-21-17.docx	Form and Instruction
CSOSA - 6 Electronic CJAN Participant Feedback Form OLIPA CJAN ELECTRONIC snapshot document 9 -2017.pdf	Form

IC Title:

OLIPA Survey Forms

Agency IC Tracking Number:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CSOSA - 2	Community Resource Day Program Presenter Feedback Survey	community resource day presenter feedback - omb version 9-21-17.docx	No		Paper Only
Form and Instruction	CSOSA - 5	Community Service Program Participant Feedback Survey	OLIPA survey - community service participant feedback - omb version 9-21-17.docx	No		Paper Only
Form and Instruction	CSOSA - 4	MPD Partnership Training Session Survey	OLIPA survey - mpd partnership training - omb version 9-21-17.docx	No		Paper Only
Form and Instruction	CSOSA - 1	Community Resource Day Program Participant Feedback Survey	OLIPA survey- community resource day PARTICIPANT - omb version 9-21-17.docx	No		Paper Only
Form and Instruction	CSOSA - 3	Community Justice Advisory Network (CJAN) Meeting Participant Form	OLIPA survey- CJAN participant feed back - omb version 9-21-17.docx	No		Paper Only
Form	CSOSA - 6	Electronic CJAN Participant Feedback Form	OLIPA CJAN ELECTRONIC snapshot document 9 -2017.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	75	75
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.