Information Collection

Civil Legal Needs Survey Pilot Test

IC 280074 under ICR 202504-1121-002 · OMB 1121-0339.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Civil Legal Needs Survey Civil Legal Needs Survey Pilot Test	Form and Instruction
Civil Legal Needs Survey Attachment A_Civil Legal Needs Survey Instrument_04.22.26.pdf	Form and Instruction
CLNS Pilot Generic Clearance Memo_04.22.26.docx CLNS Pilot Test Memo to OMB	IC Document
CLNS Pilot_Combined AttachmentsA-E.pdf CLNS Pilot Test Attachments	IC Document
CLNS Pilot Generic Clearance IC Template.docx CLNS Pilot Test GEN IC Template	IC Document

IC Title:

Agency IC Tracking Number:

BJS

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	N/A				Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	677	677
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CLNS Pilot Test Memo to OMB		04/23/2026
CLNS Pilot Test Attachments		04/23/2026
CLNS Pilot Test GEN IC Template		04/23/2026

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

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