CAM Survey

Improving Customer Experience: OMB Circular A-11, Section 280 Implementation.

Documents and Forms

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

Information Collection (IC) Details

IC Title:	CAM Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.