Information Collection

CAM Survey

IC 271065 under ICR 202407-1103-001 · OMB 1103-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0120 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1103-0120 CAM Survey	Form and Instruction
1103-0120 CAM Survey CAM Survey .docx	Form and Instruction
ICR Template_A11 Section 280 Clearance v 5 13 24 .docx ICR Template A11 Section 280 Clearance v 5 13 24	IC Document

IC Title:

CAM Survey

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
Form and Instruction	1103-0120	CAM Survey	CAM Survey .docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 135

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	135	135
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR Template A11 Section 280 Clearance v 5 13 24	ICR Template_A11 Section 280 Clearance v 5 13 24 .docx	09/20/2024

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