Information Collection

National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument

IC 223103 under ICR 202002-0985-001 · OMB 0985-0054.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0054 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument	Form and Instruction
NAMRS Agency Component 0054 Agency Component Data Collection instrument with PRA statement and 508 compliant.pdf	Form and Instruction

IC Title:

National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument

Agency IC Tracking Number:

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 and Instruction	NA	NAMRS Agency Component	0054 Agency Component Data Collection instrument with PRA statement and 508 compliant.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	224	-504	728
Annual IC Cost Burden (Dollars)	0	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.