Information Collection

Return A Monthly Return of Offenses Known to Police and Supplement to Return A Monthly Return of Offenses Known to Police

IC 11784 under ICR 199706-1110-001 · OMB 1110-0001.

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IC Title:

Return A Monthly Return of Offenses Known to Police and Supplement to Return A Monthly Return of Offenses Known to Police

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4-919				Yes	Yes
Form	4-927A				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,145

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 51 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	205,740	184,128	21,612
Annual IC Time Burden (Hours)	102,870	93,187	9,683
Annual IC Cost Burden (Dollars)	0	-100,000	100,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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