Defense Logistics Agency Police Center Records (POLC)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DLA 635 Incident Report	Form and Instruction	Unchanged	Repair queued
Form DLA 635 Incident Report Form	Form and Instruction	Unchanged	Repair queued
0704-0514_SSB_10.28.2022.docx	Supporting Statement B	Uploaded 2022-10-28	Repair queued
DLA Police Center PIA (DRAFT) Sec 1.pdf	Supplementary Document	Uploaded 2019-03-18	Repair queued
0704-0514_SSN Memo_4.2.2018.pdf	Supplementary Document	Uploaded 2022-10-28	Repair queued
0704-0587_SSA_10.31.2022.docx	Supporting Statement A	Uploaded 2022-10-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
210253	Incident Report Form	Form and Instruction	Unchanged	Incident Report
210253	Incident Report Form	Form and Instruction	Unchanged
210253	Incident Report Form	Other-DLA Police Center Records Login Page	Unchanged

ICR Details

OMB Control No: 0704-0514	ICR Reference No: 202210-0704-004
Status: Historical Active	Previous ICR Reference No: 201903-0704-003
Agency/Subagency: DOW/DODDEP	Agency Tracking No:
Title: Defense Logistics Agency Police Center Records (POLC)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/14/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/31/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2025	36 Months From Approved	12/31/2022
Responses	2,000	0	2,000
Time Burden (Hours)	1,000	0	1,000
Cost Burden (Dollars)	26,000	0	26,000

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Abstract: The DLA Police Center (POLC) system houses data of civilian and military personnel of DLA, contractor employees, and other persons who have committed or are suspected of having committed any criminal act (felony or misdemeanor) or any violations of laws or regulations on DLA-controlled activities or facilities.

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Authorizing Statute(s): PL: Pub.L. 108 - 494 102 Name of Law: Enhance 911 Act of 2004
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 44368	07/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 64460	10/25/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Incident Report Form	DLA 635	Incident Report

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	2,000	2,000	0	0	0	0
Annual Time Burden (Hours)	1,000	1,000	0	0	0	0
Annual Cost Burden (Dollars)	26,000	26,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $130,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/31/2022

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