Information Collection

Participant Survey

IC 275076 under ICR 202504-1190-001 · OMB 1190-0021.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1190-0021 Participant Survey	Form and Instruction
Form 1190-0021 Participant Survey Participant Survey	Form and Instruction
1190-0021 Participant Survey 1190-0021_CRS_L3_Outcome_Participant Survey_July.2024.docx	Form and Instruction
1190-0021 Participant Survey 1190-0021_CRS_L3_Outcome_Participant Survey_July.2024.docx	Form and Instruction

IC Title:

Participant Survey

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	1190-0021				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 950

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	950	950
Annual IC Time Burden (Hours)	238	238
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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