Information Collection

Quarterly Summary Persons Input

IC 233646 under ICR 202412-1121-002 · OMB 1121-0365.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Quarterly Summary Persons Input	Form
Quarterly Summary Prisons Input Quarterly Summary Persons Input	Form
Quarterly Summary Prisons Input DCR-1 Quarterly Summary.pdf	Form
Quarterly Summary Prisons Input DCR-1 Quarterly Summary.pdf	Form

IC Title:

Agency IC Tracking Number:

BJA

Is this a Common Form? No

IC Status: Unchanged

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	none			TBD	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Leadership Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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