Form PSN Crime Reportin PSN Crime Reportin PSN Crime Reporting Form

OMB No. 1121-0271

Expires 09-30-2006

PROJECT SAFE NEIGHBORHOODS

SEMI-ANNUAL RESEARCHER REPORTING FORM

GRANTEE NAME:

GRANT NUMBER:

REPORTING PERIOD:

District -

Principal Target Area* (or problem focus; specify) -

Principal Target Area Population -

Please copy the form if you are reporting for more than one target area.

*Please specify the principal target area (e.g., county, city, neighborhood, police district or precinct) for the data being reported.

Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Total Year

Crime Measures:

Homicide (total)

Homicide with a Firearm

Aggravated Assault (total)

Aggravated Assault with a firearm

Armed Robbery (total)

Armed Robbery with a firearm

OMB No. 1121-0271

Expires 09-30-2006

PROJECT SAFE NEIGHBORHOODS

SEMI-ANNUAL RESEARCHER REPORTING FORM

GRANTEE NAME:

GRANT NUMBER:

REPORTING PERIOD:

Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Total Year

Outputs – Arrests and Seizures:

Homicide arrests

Aggravated assault arrests

Armed robbery arrests

Illegal weapons carrying, possession arrests (e.g., CCW) – adults

Illegal weapons carrying, possession arrests (e.g., CCW) – juveniles

Firearms seized

OMB No. 1121-0271

Expires 09-30-2006

PROJECT SAFE NEIGHBORHOODS

SEMI-ANNUAL RESEARCHER REPORTING FORM

GRANTEE NAME:

GRANT NUMBER:

REPORTING PERIOD:

Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Total Year

Outputs – Prosecution:

Local prosecution filings for homicides

Local prosecution filings for aggravated assaults

Local prosecution filings for robbery

Local prosecution filings for illegal firearms carrying, possession

Local prosecution cases disposed by guilty plea or verdict for homicide

OMB No. 1121-0271

Expires 09-30-2006

PROJECT SAFE NEIGHBORHOODS

SEMI-ANNUAL RESEARCHER REPORTING FORM

GRANTEE NAME:

GRANT NUMBER:

REPORTING PERIOD:

Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Total Year

Local prosecution cases disposed by guilty plea or verdict for aggravated assaults

Local prosecution cases disposed by guilty plea or verdict dispositions for robbery

Local prosecution cases disposed by guilty plea or verdict for illegal firearms carrying, possession

Federal prosecution - defendant filings for firearms-related cases (Sections 922 & 924)

Federal prosecution – total defendants guilty of firearms or other non-firearms offense (Sections 922 & 924)

OMB No. 1121-0271

Expires 09-30-2006

PROJECT SAFE NEIGHBORHOODS

SEMI-ANNUAL RESEARCHER REPORTING FORM

GRANTEE NAME:

GRANT NUMBER:

REPORTING PERIOD:

Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Total Year

Additional measures:

Shots fired calls for service

Trauma center - firearms injuries

Other (specify)

Other (specify)

Other (specify)

Other (specify)

District-wide measures:

(specify)

(specify)

(specify)

(specify)