Information Collection

Supplementary Homicide Report

IC 11789 under ICR 200801-1110-003 · OMB 1110-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-704 Supplementary Homicide Report	Form
1-704 Supplementary Homicide Report (SHR) Supplementary Homicide Report.xls www.fbi.gov/hq/cjisd/cjis.htm	Form

IC Title:

Supplementary Homicide Report

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	1-704	Supplementary Homicide Report (SHR)	Supplementary Homicide Report.xls	www.fbi.gov/hq/cjisd/cjis.htm	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,523

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 79 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	210,276	2,388	207,888
Annual IC Time Burden (Hours)	20,465	-10,718	31,183
Annual IC Cost Burden (Dollars)	367,170	4,170	363,000

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.