Law Enforcement Officers Killed or Assaulted

Forms and Documents

Document Name	Status
Form 1-705 Law Enforcement Officers Killed or Assaulted Form and Instruction	Modified
1110-0006_Justification_2010.wpd Supporting Statement A	2010-02-23
Memo.wpd Supplementary Document	2009-11-20
signature.pdf Supplementary Document	2009-11-20
Law.wpd Supplementary Document	2009-11-20

IC Document Collections

IC ID	Document Title	Status
11799	Law Enforcement Officers Killed or Assaulted Form and Instruction	Modified

ICR Details

OMB Control No: 1110-0006	ICR Reference No: 200911-1110-003
Status: Historical Active	Previous ICR Reference No: 200701-1110-004
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Law Enforcement Officers Killed or Assaulted
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/24/2010
	Date Received in OIRA: 02/23/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	04/30/2010
Responses	213,588	0	209,472
Time Burden (Hours)	24,919	0	20,398
Cost Burden (Dollars)	0	0	0

---

Abstract: Form 1-705 provides specific incident data related to officer killed or assaulted while in the line of duty. The data is published annually in Law Enforcement Officers Killed and Assaulted.

---

Authorizing Statute(s): US Code: 28 USC 534 Name of Law: Acquisition, Preservation, and Exchange of Identification Records; Appointment of Officials
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 62349	11/27/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 4848	01/29/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Law Enforcement Officers Killed or Assaulted	1-705	Law Enforcement Officers Killed or Assaulted

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	213,588	209,472	0	0	4,116	0
Annual Time Burden (Hours)	24,919	20,398	0	0	4,521	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no increase in burden on the individual respondents; however, the overall annual burden hours have increased. This is an adjustment, and increase from 20,398 to 24,919 which is an increase of 4,521 due to the increase in the number of respondents.

---

Annual Cost to Federal Government: $635,291

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/23/2010

---