Information Collection

Opnavinst 5102/10

IC 221582 under ICR 201907-0703-001 · OMB 0703-0065.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPNAVINST 5102/10 OPNAVINST 5102/10	Form
RMI Questions BLF.DOCX	Other-Interview questions
OPNAVINST 5102/10 Safety Investigation Report Advice to Witness DraftOPNAV5102 10 lockT07222019.pdf	Form

IC Title:

OPNAVINST 5102/10

Agency IC Tracking Number:

0703-0065

Is this a Common Form? No

IC Status: Modified

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	OPNAVINST 5102/10	Safety Investigation Report Advice to Witness	DraftOPNAV5102 10 lockT07222019.pdf		Yes	Yes	Fillable Fileable
Other-Interview questions			RMI Questions BLF.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	25	0	25
Annual IC Time Burden (Hours)	38	0	38
Annual IC Cost Burden (Dollars)	1,090	89	1,001

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.