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 200611-1110-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 4-927A Return A-Monthly Return of Offenses known to Police and Supplement to Return A-Monthly Return of Offenses Known to Police	Form
4-927A Return A -- Monthly Return of Offenses Known to the Poli Return A 1-720.XLS	Form
4-919 Supplemental to Return A -- Monthly Return of Offenses K Supplement to Return A 1-706.xls	Form

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: Modified

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 534

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	4-927A	Return A -- Monthly Return of Offenses Known to the Police	Return A 1-720.XLS		Yes	Yes	Printable Only
Form	4-919	Supplemental to Return A -- Monthly Return of Offenses Known to the Police	Supplement to Return A 1-706.xls		Yes	Yes	Printable Only

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,499

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 64 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	419,976	12,672	407,304
Annual IC Time Burden (Hours)	44,629	-97,927	142,556
Annual IC Cost Burden (Dollars)	1,442,301	708,301	734,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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