Information Collection

ADA Feedback Form

IC 269090 under ICR 202406-1103-005 · OMB 1103-0117.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AVA Feedback Form.pdf	Other-
AVA Feedback Form.pdf	Other-
Gen IC Template-062724-RA.docx Gen IC Template-062724-RA	IC Document
Gen IC Template-062724-RA.docx Gen IC Template-062724-RA	IC Document

IC Title:

ADA Feedback Form

Agency IC Tracking Number:

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-			AVA Feedback Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300,000

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	90,000,000,000	90,000,000,000
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Gen IC Template-062724-RA	Gen IC Template-062724-RA.docx	06/28/2024

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