Information Collection

Monitoring Request for Documentation

IC 44933 under ICR 201905-1103-001 · OMB 1103-0100.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1103-0100 Monitoring Request for Documentation	Form
1103-0100 Monitoring Information Collection MonitoringRequestForDocumenationUpdate.doc	Form

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.