Information Collection

Victims Survey

IC 254533 under ICR 202207-0701-001 · OMB 0701-0170.

Documents and Forms

Document Name Document Type
0701-IRCP_VictimsSurvey_8.23.22.pdf Other-Survey
0701-IRCP_VictimsSurvey_8.23.22.pdf Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Victims Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Survey			0701-IRCP_VictimsSurvey_8.23.22.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	216	216

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.