Supplementary Homicide Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1-704 Supplementary Homicide Report	Form	Modified	Available
1110-0002 83i.pdf	Supplementary Document	Uploaded 2011-02-03	Available
1110-0002 Justification.docx	Supporting Statement A	Uploaded 2011-02-01	Available
28usc534.wpd	Supplementary Document	Uploaded 2011-01-20	Available
signature.pdf	Supplementary Document	Uploaded 2011-01-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
11789	Supplementary Homicide Report	Form	Modified

ICR Details

OMB Control No: 1110-0002	ICR Reference No: 201101-1110-001
Status: Historical Active	Previous ICR Reference No: 200801-1110-003
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Supplementary Homicide Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/08/2011
	Date Received in OIRA: 05/19/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	215,820	0	210,276
Time Burden (Hours)	32,373	0	20,465
Cost Burden (Dollars)	376,850	0	367,170

---

Abstract: Under Title 28, Section 534, U.S. Code, the Department of Justice, would request Supplementary Homicide data from law enforcement agencies in order to acquire, collect, classify, and preserve national data on criminal offenses as part of the Uniform Crime Reports and publication, Crime in the United States.

---

Authorizing Statute(s): US Code: 28 USC 534 Name of Law: Acquisition, preservation, and exchange of identification records
  

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:
	76 FR 5611	02/01/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 20042	04/11/2011
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Supplementary Homicide Report	1-704	Supplementary Homicide Report

---

ICR Summary of Burden

table that charts list 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	215,820	210,276	0	5,544	0	0
Annual Time Burden (Hours)	32,373	20,465	0	11,908	0	0
Annual Cost Burden (Dollars)	376,850	367,170	0	9,680	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There is no increase of burden on the individual respondents; however, the overall annual burden hours have increased due to the increase in the number of participating agencies. This increase is attributable to the Federal Recovery Act. Due to agencies receiving surmountable grant monies from this recently passed Act UCR participation has increased tremendously. In order for law enforcement agencies to receive the grants they must fully participate in the UCR Program.

---

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

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: 05/19/2011

---