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pdfPAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your agency's Paperwork
Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any additional documentation
to: Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 17th Street NW,
Washington, DC 20503.
1. Agency/Subagency originating request
2. OMB control number
None
1110
__ __ __ - __0021
__ __ __
a. __ __
Federal Bureau of Investigation
3. Type of information collection (check one)
__ __ __ __
4. Type of review requested (check one)
New Collection
b. ✔ Revision of a currently approved collection
Regular
a.
b. ✔ Emergency - Approval requested by: ____/____/____
a.
c.
d.
Extension of a currently approved collection
Reinstatement, without change, of a previously approved
e.
collection for which approval has expired
Reinstatement, with change, of a previously approved
Delegated
c.
5. Small entities
Will this information collection have a significant economic impact on a
substantial number of small entities?
collection for which approval has expired
Yes
Existing collection in use without an OMB control number
f.
b.
No
✔
6. Requested expiration date
For b-f, note Item A2 of Supporting Statement instructions
a.
✔
Three years from the approval date
b.
_____/_____
7. Title
FBI National Academy (FBINA) Post Course Questionnaire
8. Agency form number(s) (if applicable)
9. Keywords
FBI National Academy; Law Enforcement Education; Law Enforcement Training; Training Programs
10. Abstract
This collection will gather feedback from FBINA graduates and their supervisor to determine if the training received from the
FBI National Academy has made an impact on their agency.
11. Affected public (Mark primary with "P" and all others with "X")
12. Obligation to respond (Mark primary with "P" and all others that apply with "X")
a. P Voluntary
Required to obtain or retain benefits
b.
a. __ Individuals or households
d. __ Farms
b. __ Business or other for-profit
x Federal Government
e. __
c. __ Not-for-profit institutions
P State, Local, or Tribal Government
f. __
13. Annual reporting and recordkeeping hour burden
a. Number of respondents
Mandatory
c.
14. Annual reporting and recordkeeping cost burden(in thousands of dollars)
b. Total annual responses
b. Total annual costs (O&M)
1. Percentage of these responses
collected electronically
c. Total annual hours requested
d. Current OMB inventory
e. Difference
c. Total annualized cost requested
50
%
d. Current OMB inventory
e. Difference
500
2080
1580
f. Explanation of difference
2. Adjustment
x
2. Adjustment
15. Purpose of information collection (Mark primary with "P" and all others
16. Frequency of recordkeeping or reporting(check all that apply)
a. __ Application for benefits
Recordkeeping
e. __ Program planning or management c. ✔ Reporting:
P Program evaluation
b. __
f. __ Research
that apply with "X")
x
1. Program change
f. Explanation of difference
1. Program change
0
0
0
0
0
a. Total annualized capital/startup costs
1000
1000
a.
c. __ General purpose statistics g. __ Regulatory or compliance
d. __ Audit
On occasion
1.
4. ✔ Quarterly
Biennially
7.
b.
Third party disclosure
Weekly
3.
Monthly
2.
Annually
5. ✔ Semi-annually 6.
Other (describe) ____________
8.
18. Agency contact (person who can best answer questions regarding the content
17. Statistical methods
Does this information collection employ statistical methods?
Yes ✔ No
of this submission)
Laleatha B. Goode
Name: ______________________________________________________
503-632-3495
Phone: ______________________________________________________
OMB 83-I
10/95
File Type | application/pdf |
File Title | Paperwork Reduction Act Submission (OMB 83-I) |
Subject | Paperwork Reduction Act Submission (OMB 83-I) |
Author | OMB |
File Modified | 2014-03-27 |
File Created | 1999-03-02 |