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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.