Elder Justice Victim Needs Assessment (Private Sector)

Elder Justice Victim Needs Assessment

Documents and Forms

Document Name Document Type
1105-0NEW Elder Justice Survey.docx Other-Survey
1105-0NEW Elder Justice Survey.docx Other-Survey

Information Collection (IC) Details

IC Title:	Elder Justice Victim Needs Assessment (Private Sector)	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-Survey			1105-0NEW Elder Justice Survey.docx		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	11,000	11,000

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.