Information Collection

Fraud.gov Fraud Tip Submission Form

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	N/A			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 %

table that charts list of burden
	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

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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