Information Collection

MDT Training and Technical Assistance Surveys

IC 280454 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⚠️ Notice: This information collection may be referencing outdated material.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 MDT TAC Technical Assistance Evaluation MDT Training and Technical Assistance Surveys	Form and Instruction
Form 1103-0120 MDT TAC Training Evaluation MDT Training and Technical Assistance Surveys	Form and Instruction
1103-0120 MDT TAC Technical Assistance Evaluation MDT TAC Technical Assistance Evaluation 5 Questions 5.8.26_OMB Comments slj.docx	Form and Instruction
1103-0120 MDT TAC Training Evaluation MDT TAC Training Evaluation 5 Questions 5.8.26_OMB Comments slj.docx	Form and Instruction
ICR Template A11 v 8 6 2025 MDT TA and Training Survey 5.15.26.docx IC 280 Template	IC Document

IC Title:

MDT Training and Technical Assistance Surveys

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				Yes	Yes	Fillable Fileable
Form and Instruction	1103-0120				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	100	100
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IC 280 Template		05/15/2026

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].