Information Collection

Law Enforcement Officers Killed or Assaulted

IC 11799 under ICR 200911-1110-003 · OMB 1110-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-705 Law Enforcement Officers Killed or Assaulted	Form and Instruction
1-705 Law Enforcement Officers Killed or Assaulted LEOKA.pdf www.fbi.gov/hq/cjisd/formssummary.htm	Form and Instruction

IC Title:

Law Enforcement Officers Killed or Assaulted

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	1-705	Law Enforcement Officers Killed or Assaulted	LEOKA.pdf	www.fbi.gov/hq/cjisd/formssummary.htm	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,799

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 88 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	213,588	4,116	209,472
Annual IC Time Burden (Hours)	24,919	4,521	20,398
Annual IC Cost Burden (Dollars)	0	0	0

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.