Fidelity Log

Program Impact Evaluations (Level 3 Evaluations)

Documents and Forms

Document Name Document Type
Form 1190-0021 Fidelity Log Form and Instruction
Form 1190-0021 Fidelity Log Form and Instruction
1190-0021 Fidelity Log 1190-0021_CRS_L3_Process_Fidelity Log_Feb.2025.docx Form and Instruction
1190-0021 Fidelity Log 1190-0021_CRS_L3_Process_Fidelity Log_Feb.2025.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Fidelity Log	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
Form and Instruction	1190-0021	Fidelity Log	1190-0021_CRS_L3_Process_Fidelity Log_Feb.2025.docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	8	8
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.