Information Collection

COPS Extension Form

IC 203543 under ICR 201811-1103-001 · OMB 1103-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0093 can be found here:

Documents and Forms

Document Name Document Type
COPS Extension Form Form and Instruction
COPS Extension Request Form Extension Request Form (Final) 8-7-2015 - Grants Administration Division.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	COPS Extension Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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	N/A	COPS Extension Request Form	Extension Request Form (Final) 8-7-2015 - Grants Administration Division.docx		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	750	750

Documents for IC

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.