Information Collection Request

Electronic Data Collection System-Tips, Complaints, Referrals (TCR) and Form TCR

ICR 202412-3235-025 · OMB 3235-0672 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form TCR Form TCR Tip, Complaint, or Referral Form and Instruction Modified Available
Form Form TCR TCR Form Form and Instruction Modified Repair queued
Form TCR Complaint Form TCR Complaint Form Form Modified Available
Form TCR Complaint Form Tips, Complaints and Referral Database-TCR Form Modified Missing upstream
2025 03 10_90 FR 11636_3235-0672_30-Day Submission Notice.pdf.pdf Supplementary Document Uploaded 2025-03-10 Available
2025 03 10_90 FR 11636_3235-0672_30-Day Submission Notice.pdf.pdf Supplementary Document Uploaded 2025-03-10 Repair queued
Online TCR and Form TCR Supporting Statement (2025 extension) 5.20.25.pdf Supporting Statement A Uploaded 2025-05-21 Available
Online TCR and Form TCR Supporting Statement (2025 extension) 3.6.25.pdf Supporting Statement A Uploaded 2025-03-10 Missing upstream
pia-servicenow-enclave.pdf Supplementary Document Uploaded 2025-03-03 Available
pia-servicenow-enclave.pdf Supplementary Document Uploaded 2025-03-03 Missing upstream
2024 12 26_89 FR 105161_3235-0672_60-Day Collection Notice.pdf Supplementary Document Uploaded 2024-12-26 Repair queued
2024 12 26_89 FR 105161_3235-0672_60-Day Collection Notice.pdf Supplementary Document Uploaded 2024-12-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251947 TCR Form Form and Instruction ModifiedForm TCR Tip, Complaint, or Referral
251947 TCR Form Form and Instruction Modified
194909 Tips, Complaints and Referral Database-TCR Form ModifiedTCR Complaint Form
194909 Tips, Complaints and Referral Database-TCR Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2028 36 Months From Approved 05/31/2025
35,170 0 28,560
17,755 0 14,840
10,200 0 33,600





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
TCR Form Form TCR
Tips, Complaints and Referral Database-TCR TCR Complaint Form

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 35,170 28,560 0 6,610 0 0
Annual Time Burden (Hours) 17,755 14,840 0 2,915 0 0
Annual Cost Burden (Dollars) 10,200 33,600 0 -23,400 0 0


Reginfo record details
  No