Information Collection

Leep Assessment Instrument (continuing Assessment)

IC 120187 under ICR 197901-1121-001 · OMB 1121-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0036 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	LEEP ASSESSMENT INSTRUMENT (CONTINUING ASSESSMENT)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	LEAA 5260,	No	No
Form	& 52601	No	No
Form	OJARS 5620-5	No	No
Form	260/1	No	No

Line of Business:

Subfunction:

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: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	-100	1,100
Annual IC Time Burden (Hours)	1,160	-2,140	3,300
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.