Information Collection

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

IC 11786 under ICR 200309-1110-001 · OMB 1110-0001.

⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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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:

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: 16,971	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 74 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	407,304	195,300	212,004
Annual IC Time Burden (Hours)	142,556	68,355	74,201
Annual IC Cost Burden (Dollars)	734,000	285,000	449,000

Documents for IC

Title	Document	Date Uploaded

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