Information Collection

30919 data.ojp.usdoj.gov Feedback

IC 250636 under ICR 202204-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 30919 30919 data.ojp.usdoj.gov Feedback	Form and Instruction
Form 30919 30919 data.ojp.usdoj.gov Feedback 30919 data.ojp.usdoj.gov Feedback	Form and Instruction
30919 30919 data.ojp.usdoj.gov Feedback 30919 data.ojp.usdoj.gov Feedback.xlsx	Form and Instruction
30919 30919 data.ojp.usdoj.gov Feedback 30919 data.ojp.usdoj.gov Feedback.xlsx	Form and Instruction
1090-0008 Generic Clearance Request Form_data.ojp.usdoj.gov-signed.pdf 1090-0008 Generic Clearance Request Form_data.ojp.usdoj.gov-signed	IC Document
1090-0008 Generic Clearance Request Form_data.ojp.usdoj.gov-signed.pdf 1090-0008 Generic Clearance Request Form_data.ojp.usdoj.gov-signed	IC Document
1090-0008 Intercept Survey Mapping Doc IAA30919 data.ojp.usdoj.gov.docx 1090-0008 Intercept Survey Mapping Doc IAA30919 data.ojp.usdoj.gov	IC Document
1090-0008 Intercept Survey Mapping Doc IAA30919 data.ojp.usdoj.gov.docx 1090-0008 Intercept Survey Mapping Doc IAA30919 data.ojp.usdoj.gov	IC Document

IC Title:

30919 data.ojp.usdoj.gov Feedback

Agency IC Tracking Number:

30919

IC Status: Unchanged

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	30919	30919 data.ojp.usdoj.gov Feedback	30919 data.ojp.usdoj.gov Feedback.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form_data.ojp.usdoj.gov-signed	1090-0008 Generic Clearance Request Form_data.ojp.usdoj.gov-signed.pdf	12/02/2021
1090-0008 Intercept Survey Mapping Doc IAA30919 data.ojp.usdoj.gov	1090-0008 Intercept Survey Mapping Doc IAA30919 data.ojp.usdoj.gov.docx	12/02/2021

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