Information Collection

National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument

IC 223103 under ICR 202302-0985-005 · OMB 0985-0054.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument	Form and Instruction
NAMRS Agency Component 0054 NAMRS Agency Specifications Ins 4.pdf	Form and Instruction
NAMRS Agency Component 0054 NAMRS Agency Specifications Ins 4.pdf	Form and Instruction
0054 NAMRS Code Values and Definitions Ins 3.pdf NAMRS Codes, Values and Definitions	IC Document
0054 NAMRS Code Values and Definitions Ins 3.pdf NAMRS Codes, Values and Definitions	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	NA	NAMRS Agency Component	0054 NAMRS Agency Specifications Ins 4.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	59	3	56
Annual IC Time Burden (Hours)	602	378	224
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NAMRS Codes, Values and Definitions	0054 NAMRS Code Values and Definitions Ins 3.pdf	02/16/2023

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