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COPS Customer Outreach and Information Sample
COPS Generic Information Collection Review of Customer Outreach and Information
OMB: 1103-0109
IC ID: 202168
OMB.report
DOJ/DOJADM
OMB 1103-0109
ICR 201205-1103-001
IC 202168
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0109 can be found here:
2013-11-21 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Question Bank Screenshots 2.9.12.pdf
Other-Questions answered electronica
Explanation for Generic IC Burden Worksheet for additional questions to Question Bank 2.17.12.docx
Explanation for Generic IC Burden Hours
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
COPS Customer Outreach and Information Sample
Agency IC Tracking Number:
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
Other-Questions answered electronically
Question Bank Screenshots 2.9.12.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Crime Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
300
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,000
0
1,000
0
0
0
Annual IC Time Burden (Hours)
250
0
250
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Explanation for Generic IC Burden Hours
Explanation for Generic IC Burden Worksheet for additional questions to Question Bank 2.17.12.docx
05/07/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.