Information Collection

Pilot LES-FA

IC 235322 under ICR 201903-1121-001 · OMB 1121-0370.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pilot LES-FA	Form and Instruction
LES Pilot Study Mail Screener LES-FA Pilot Study Mail Screener (Appendix 10, Attachment B).pdf	Form and Instruction
LES-FA Pilot Study Instrument LES-FA Pilot Study Instrument (Appendix 12, Attachment A).pdf	Form and Instruction

IC Title:

Pilot LES-FA

Agency IC Tracking Number:

NIJ

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
Form and Instruction	n/a	LES Pilot Study Mail Screener	LES-FA Pilot Study Mail Screener (Appendix 10, Attachment B).pdf		Yes	No	Printable Only
Form and Instruction	n/a	LES-FA Pilot Study Instrument	LES-FA Pilot Study Instrument (Appendix 12, Attachment A).pdf		Yes	No	Printable Only

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 114

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	114	114
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	9,369	9,369

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.