National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument

National Adult Maltreatment Reporting System

Documents and Forms

Document Name Document Type
National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument Form and Instruction
NAMRS Agency Component 0054 NAMRS Agency Specifications Ins 4.pdf Form and Instruction
NAMRS Agency Component 0054 NAMRS Agency Specifications Ins 4.pdf Form and Instruction
0054 NAMRS Code Values and Definitions Ins 3.pdf NAMRS Codes, Values and Definitions IC Document
0054 NAMRS Code Values and Definitions Ins 3.pdf NAMRS Codes, Values and Definitions IC Document

Information Collection (IC) Details

IC Title:	National Adult Maltreatment Reporting System (NAMRS) Agency Component Instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	NA	NAMRS Agency Component	0054 NAMRS Agency Specifications Ins 4.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	59	3	56
Annual IC Time Burden (Hours)	602	378	224
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
NAMRS Codes, Values and Definitions	0054 NAMRS Code Values and Definitions Ins 3.pdf	02/16/2023

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