Information Collection

Reports and Referrals of Allegations

IC 208678 under ICR 202308-1653-002 · OMB 1653-0051.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Reports and Referrals of Allegations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 6 CFR 115.22(b) 6 CFR 115.51(c) 6 CFR 115.61(a)

Information Collection Instruments:

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

Line of Business: Correctional Activities

Subfunction: Criminal Incarceration

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	240	-128	368
Annual IC Time Burden (Hours)	120	-64	184
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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