Information Collection

Local Law Enforcement Block Grants Program State Application Form

IC 12459 under ICR 199605-1121-002 · OMB 1121-0195.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0195 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Local Law Enforcement Block Grants Program State Application Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	1,000	1,000

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.