Information Collection

Fraud.gov Fraud Tip Submission Form

IC 281141 under ICR 202606-1505-003 · OMB 1505-0284.

Documents and Forms

Document Name Document Type
Fraud Tip Intake Form Fraud.gov Fraud Tip Submission Form Form
Fraud Tip Intake Form Fraud Tip Intake Form - Sample Screenshots.pdf www.fraud.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fraud.gov Fraud Tip Submission Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Fraud Tip Intake Form	Fraud Tip Intake Form - Sample Screenshots.pdf	www.fraud.gov	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title: Treasury .032 â Federal Program Waste, Fraud, and Abuse Tip Intake and Referral Records	FR Citation: 91 FR 36651

Number of Respondents: 80,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80,000	80,000
Annual IC Time Burden (Hours)	40,000	40,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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