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pdfPAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form contact your agency's Paperwork Clearance Officer. Send
two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any additional documentation to: Office of Information and Regulatory Affairs,
Office of Management and Budget, Docket Library, Room 10102, 72 17th Street NW, Washington, DC 20503.
1. Agency/Subagency originating request
DOJ, FBI , CJIS
2. OMB control number
a. 1 1 1 0 - 0 0 0 8
3. Type of information collection (check one)
a.
New collection
b. __ Revision of a currently approved collection
c. T Extension of a currently approved collection
d.
Reinstatement, without change, of a previously approved
collection for which approval has expired
e.
Reinstatement, with change, of a previously approved
collection for which approval has expired
f.
Existing collection in use without an OMB control number
4. Type of review requested (check one)
a. T Regular
b.
Emergency - Approval requested by: ___/___/___
c.
Delegated
3a. Public Comments
Has the agency received public comments on this information collection?
Yes T No
b. Q None
__ __ __ __
5. Small entities
Will this information collection have significant economic impact
on a substantial number of small entities?
Yes T No
6. Requested expiration date
a. T Three years from the approval date
b.
Other Specify: ____/____
7. Title Monthly Return of Arson Offenses Known to Law Enforcement
8. Agency form number(s) (if applicable) 1-725
9. Keywords Arson, Fire
10. Abstract Provides specific incident data related to arson. Data are published annually in Crim e in the United States.
11. Affected public (M ark prim ary with "P" and all others that apply with "X")
a.
Individuals or households
d.
Farms
b.
Business or other for profit e. X Federal Government
c.
Not-for-profit institutions
f. P State, Local, or Tribal Government
12. Obligation to respond (M ark prim ary with "P" and all others that apply with "X")
a. P Voluntary
b.
Required to obtain or retain benefits
c.
Mandatory
13. Annual reporting and recordkeeping hour burden
a. Number of respondents
b. Total annual responses
1. Percentage of these responses
collected electronically
c. Total annual hours requested
d. Current OMB Inventory
e. Difference
f. Explanation of difference
1. Program Change
2. Adjustment
14. Annual reporting and recordkeeping cost burden (in thousands of dollars)
a. Total annualized capital/startup costs
0
b. Total annual costs (O&M)
0
c. Total annualized cost requested
0
d. Current OMB Inventory
0
e. Difference
0
f. Explanation of difference
1. Program Change
2. Adjustment
0
18,108
217,296
89 %
32,594
20,465
+12,129
+12,129
15. Purpose of information collection (Mark primary with "P" and all others
that apply with "X")
a.
Application for benefits
e.
Program planning or management
b.
Program Evaluation
f. X Research
c. P General Purpose Statistics
g.
Regulatory or Compliance
d.
Audit
16. Frequency of recordkeeping or reporting (check all that apply)
a.
Recordkeeping
b.
Third Party Disclosure
c. T Reporting
1. 9 On occasion 2. 9 Weekly
3. : Monthly
4. 9 Quarterly
5. 9 Semi-annually 6. 9 Annually
7. 9 Biennially
8. 9 Other (describe) ____________
17. Statistical Methods
Does this Information Collection employ statistical methods?
18. Agency contact (person who can best answer questions regarding the content of
this submission)
9 Yes
: No
Name: Patricia S. Hanning
Phone: (304) 625-2957
OM B 83-I
10/95
File Type | application/pdf |
File Modified | 2011-08-25 |
File Created | 2011-08-25 |