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Federal forms, ICRs, and supporting documents

Information Collection

Elder Justice Victim Needs Assessment (Private Sector)

IC 260086 under ICR 202305-1105-004 · OMB 1105-0111.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Information Collection (IC) Details

View Information Collection (IC)

Elder Justice Victim Needs Assessment (Private Sector)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey 1105-0NEW Elder Justice Survey.docx Yes Yes Fillable Printable

Law Enforcement Citizen Protection

 

1,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 333 0 333 0 0 0
Annual IC Cost Burden (Dollars) 11,000 0 11,000 0 0 0

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