Information Collection

Victims Survey

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0701-IRCP_VictimsSurvey_8.23.22.pdf	Other-Survey
0701-IRCP_VictimsSurvey_8.23.22.pdf	Other-Survey

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:

table that charts list of 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 %

table that charts list of burden
	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

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.