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Elder Justice Roadmap Project
Elder Justice Roadmap Project
OMB: 1105-0093
IC ID: 200555
OMB.report
DOJ/LA
OMB 1105-0093
ICR 201112-1105-002
IC 200555
( )
Documents and Forms
Document Name
Document Type
Form OMB Number 1105-NE
Elder Justice Roadmap Project
Form and Instruction
OMB Number 1105-NE Elder Justice Roadmap Project
Elder Justice collection instrument doc-final_032612.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Elder Justice Roadmap Project
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 and Instruction
OMB Number 1105-NEW
Elder Justice Roadmap Project
Elder Justice collection instrument doc-final_032612.doc
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Citizen Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
762
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
762
0
762
0
0
0
Annual IC Time Burden (Hours)
1,508
0
1,508
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.