Information Collection

Law Enforcement Assault Study: Offender Interview Protocol

IC 264570 under ICR 202401-1110-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Law Enforcement Assault Study: Offender Interview Protocol	Form and Instruction
Offender Interview Questions Offender Interview Protocol.docx	Form and Instruction
2023.10.05 Offender Consent Form New - Revamped v3.docx Consent form	IC Document

IC Title:

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
Form and Instruction	N/A	Offender Interview Questions	Offender Interview Protocol.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consent form	2023.10.05 Offender Consent Form New - Revamped v3.docx	02/09/2024

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