Information Collection

Law Enforcement Officers Congressional Badge of Bravery

IC 193778 under ICR 201003-1121-001 · OMB 1121-0330.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0330 can be found here:

Documents and Forms

Document Name Document Type
Law Enforcement Officers Congressional Badge of Bravery Form
Congressional Badge of Bravery screen shots page 1 Congressional Badge Shot 1.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots page 2 Congressional Badge Shot 2.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots page 3 Congressional Badge Shot 3.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots page 4 Congressional Badge Shot 4.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots Congressional Badge Shot 5.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots 6 Congressional Badge Shot 6.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots page 7 Congressional Badge Shot 7.JPG www.ojp.usdoj.gov Form
Congressional Badge of Bravery screen shots page 8 Congressional Badge Shot 8.JPG www.ojp.usdoj.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Law Enforcement Officers Congressional Badge of Bravery	Agency IC Tracking Number:	BJA

Is this a Common Form? No		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
Form	none	Congressional Badge of Bravery screen shots page 4	Congressional Badge Shot 4.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	none	Congressional Badge of Bravery screen shots	Congressional Badge Shot 5.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	none	Congressional Badge of Bravery screen shots page 1	Congressional Badge Shot 1.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	None	Congressional Badge of Bravery screen shots page 2	Congressional Badge Shot 2.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	none	Congressional Badge of Bravery screen shots page 3	Congressional Badge Shot 3.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	none	Congressional Badge of Bravery screen shots 6	Congressional Badge Shot 6.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	none	Congressional Badge of Bravery screen shots page 7	Congressional Badge Shot 7.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable
Form	none	Congressional Badge of Bravery screen shots page 8	Congressional Badge Shot 8.JPG	www.ojp.usdoj.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

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.