Information Collection

Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service

IC 239001 under ICR 201911-1103-003 · OMB 1103-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1103-0117 Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service	Form and Instruction
1103-0117 Level 1 Evaluation of Hate Crimes Program sponsored by D CRT-CRS Generic OMB Clearance Submission Survey.docx	Form and Instruction
Fast Track Template - CRT-CRS Generic OMB Clearance Submission.doc Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service	IC Document

IC Title:

Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service

Agency IC Tracking Number:

1103-0117

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
Form and Instruction	1103-0117	Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service	CRT-CRS Generic OMB Clearance Submission Survey.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service	Fast Track Template - CRT-CRS Generic OMB Clearance Submission.doc	12/19/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.