NAMRS Case Component

National Adult Maltreatment Reporting System

Documents and Forms

Document Name Document Type
NAMRS Case Component Form and Instruction
NAMRS Case Component 0054 NAMRS Case Component Ins 2.pdf Form and Instruction
NAMRS Case Component 0054 NAMRS Case Component Ins 2.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:	NAMRS Case Component	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 Case Component	0054 NAMRS Case Component Ins 2.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: 50	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	50	14	36
Annual IC Time Burden (Hours)	9,150	5,550	3,600
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.