Information Collection Request

Electronic Data Collection System-Tips, Complaints, Referrals (TCR)

ICR 201908-3235-010 · OMB 3235-0672 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Tips, Complaints and Referral Database-TCR Form and Instruction Unchanged Available
3235-0672 30 Day Notice.pdf Supplementary Document Uploaded 2019-12-31 Available
3235-0672 60 Day Notice.pdf Supplementary Document Uploaded 2019-12-31 Available
Compare Report formtcr.pdf Justification for No Material/Nonsubstantive Change Uploaded 2019-08-15 Available
Summary of Revisions to Form TCR and Form WB-APP (8.9.19) pdf.pdf Justification for No Material/Nonsubstantive Change Uploaded 2019-08-15 Available
TCR Suporting Statement 102318.pdf Supporting Statement A Uploaded 2018-10-25 Available
NEW Online EDC TCR 082117.docx Supplementary Document Uploaded 2017-08-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
194909 Tips, Complaints and Referral Database-TCR Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2022 02/28/2022 02/28/2022
16,000 0 16,000
8,000 0 8,000
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Tips, Complaints and Referral Database-TCR N/A N/A

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 16,000 16,000 0 0 0 0
Annual Time Burden (Hours) 8,000 8,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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