Monitoring Request for Documentation

COPS Office Monitoring Information Collections

Documents and Forms

Document Name Document Type
Form 1103-0100 Monitoring Request for Documentation Form
1103-0100 Monitoring Information Collection MonitoringRequestForDocumenationUpdate.doc Form

Information Collection (IC) Details

IC Title:	Monitoring Request for Documentation	Agency IC Tracking Number:	None

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 28 CFR 23

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1103-0100	Monitoring Information Collection	MonitoringRequestForDocumenationUpdate.doc		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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	150	150
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

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.