Information Collection

Developing and Validating Self-Guided Wellness and Stress Management Tools for Law Enforcement Agencies

IC 238372 under ICR 201911-1103-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Informed_Consent_Phase2.docx	Other-Informed Consent Document

IC Title:

Agency IC Tracking Number:

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
Other-Informed Consent Document			Informed_Consent_Phase2.docx		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Leadership Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	273,000	273,000
Annual IC Time Burden (Hours)	68,250	68,250
Annual IC Cost Burden (Dollars)	1,023,750	1,023,750

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.