Information Collection

Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims

IC 250687 under ICR 202105-0704-001 · OMB 0704-0482.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0482 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2910-4 Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims	Form
DD Form 2910-4 CATCH A SERIAL OFFENDER PROGRAM EXPLANATION AND NOTIFICA DD2910-4 DRAFT 20220118.pdf	Form

IC Title:

Catch a Serial Offender Program Explanation and Notification Information for Sexual Assault Victims

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
Form	DD Form 2910-4	CATCH A SERIAL OFFENDER PROGRAM EXPLANATION AND NOTIFICATION INFORMATION FOR SEXUAL ASSAULT VICTIMS	DD2910-4 DRAFT 20220118.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 376

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	376	376
Annual IC Time Burden (Hours)	940	940
Annual IC Cost Burden (Dollars)	24,733	24,733

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.