Information Collection

Return A-Monthly Return of Offenses known to Police and Supplement to Return A-Monthly Return of Offenses known to Police.

IC 11785 under ICR 200007-1110-002 · OMB 1110-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

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: 17,667

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 71 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	212,004	0	6,264	205,740
Annual IC Time Burden (Hours)	74,201	0	-28,669	102,870
Annual IC Cost Burden (Dollars)	449,000	449,000	0	0

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.