Incident Report Form

Defense Logistics Agency Police Center Records (POLC)

Documents and Forms

Document Name Document Type
Form DLA 635 Incident Report Form Form and Instruction
Defense Logistics Agency Log in Screen 4.19.2019.docx Other-DLA Police Center Records Logi
Defense Logistics Agency Log in Screen 4.19.2019.docx Other-DLA Police Center Records Logi
DLA_POLC_RMS_Application_Images.pdf Other-Police Center Records System S
DLA_POLC_RMS_Application_Images.pdf Other-Police Center Records System S
DLA 635 Incident Report DRAFT - DL0635.pdf Form and Instruction
DLA 635 Incident Report DRAFT - DL0635.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Incident Report Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DLA 635	Incident Report	DRAFT - DL0635.pdf	Yes	Yes	Fillable Fileable
Other-DLA Police Center Records Login Page			Defense Logistics Agency Log in Screen 4.19.2019.docx	Yes	Yes	Fillable Fileable
Other-Police Center Records System Screenshots			DLA_POLC_RMS_Application_Images.pdf	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	26,000	26,000

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.