Information Collection Request

Electronic Data Collection System-Tips, Complaints, Referrals (TCR)

ICR 202203-3235-004 · OMB 3235-0672 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3235-0686 TCR Form Form New Repair queued
Tips, Complaints and Referral Database-TCR Form and Instruction Modified Missing upstream
30 Day Notice #0672.docx Supplementary Document Uploaded 2022-03-03 Repair queued
60 Day Notice #0672.docx Supplementary Document Uploaded 2022-03-03 Repair queued
Online TCR and Form TCR Supporting Statement 02.08.22.docx Supporting Statement A Uploaded 2022-03-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251947 TCR Form Form New
194909 Tips, Complaints and Referral Database-TCR Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
28,560 0
14,840 0
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
TCR Form 3235-0686 Form TCR
Tips, Complaints and Referral Database-TCR N/A N/A

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 28,560 0 0 12,560 0 16,000
Annual Time Burden (Hours) 14,840 0 0 6,840 0 8,000
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No