Hate Crime Option 2a

1110-0057_Hate Crime OMB 1-699 2014 Option 2a Alphabetic (Mock Up) v7.xls

Uniform Crime Reporting Data Collection Instrument Pretesting and Burden Estimation General Clearance

Hate Crime Option 2a

OMB: 1110-0057

Document [xlsx]
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Overview

Hate Crime Incident Report
Hate Crime Definitions


Sheet 1: Hate Crime Incident Report

1-699 (Rev. 05-14-12)















Option 2





















HATE CRIME INCIDENT REPORT

































































OMB No. 1110-0015
Expires 06-30-15





































































































































This report is authorized by Title 28, Section 534, U.S. Code, and the Hate Crime Statistics Act of 1990. Even though you are not required to respond, your cooperation in using this form to report hate crimes known to law enforcement during the quarter will assist the FBI in compiling timely, comprehensive, and accurate data regarding the incidence and prevalence of hate crime throughout the nation. Please submit this report monthly, by the 15th day after the close of the month, and any questions to the FBI, Criminal Justice Information Services Division, Attention: Uniform Crime Reports/Module E-3, 1000 Custer Hollow Road, Clarksburg, West Virginia 26306; telephone 304-625-4830, facsimile 304-625-3566. Under the Paperwork Reduction Act, you are not required to complete this form unless it contains a valid Office of Management and Budget (OMB) control number. The form takes approximately 7 minutes to complete. Instructions for preparing the form appear below.







































































































































GENERAL





































































































































This report is separate from and in addition to the traditional Summary Reporting System submission. In hate crime reporting, there is no Hierarchy Rule. Offense data (not just arrest data) for Intimidation and Destruction/Damage/Vandalism of Property should be reported. On this form, all reportable bias motivated offenses should be included regardless of whether arrests have taken place. Please refer to the publication Hate Crime Data Collection Guidelines and Training Manual for additional information.







































































































































HATE CRIME INCIDENT REPORT







































































































































The Incident Report should be used to report a bias motivated incident or to adjust information in a previously reported incident.







































































































































Instructions for preparing the Hate Crime Incident Report







































































































































Administrative Information

















































































































































































































































































Report Type: (Required) Indicate the type of report as Initial or Adjustment.


















































































































































































































































































Initial-To report a hate crime incident.












































































































































































































































































Adjustment-To update a hate crime incident previously reported.











(Note: This will delete the information already on file and insert the information provided in this report.)












































































































































ORI Number: (Required) Enter the nine-character Originating Agency Identifier assigned to your agency.












































































































































































































































































Date of Incident: (Required for Initial or Adjustment Reports)





Provide the date of the hate crime incident in the format of MMDDYYYY.












































































































































Incident Number: (Required for Initial or Adjustment Reports)





Profide an identifying incident number, preferably your case or file number.





The number can be up to 12 characters in length.





Valid characters include: A through Z, 0 through 9, hyphens, and/or blanks.












































































































































Page







of




of same incident: If additional Incident Reports are used, make an appropriate entry into this portion.

























































































































































































































































The sections highlighted in light yellow are fillable fields.






The boxes displaying a drop-down arrow are selectable fields.





The boxes containing the toggle buttons are referred to as list boxes.







































































































































Initial










Adjustment
















ORI





Date of Incident


















/

/















































Month Day Year

















Incident No.























































































































Page






1 of



1 of Same Incident


























































































































































































































































































Offense Information







































































































































Offense Code: Select up to five offense codes from the selectable fields provided below for each bias motivated offense.







































































































































Number of Victims: Enter the number of victims for each bias motivated offense.
The fillable fields allow for up to a three-digit number to be entered.
Number of victins are inclusive of Individual, Business, Financial Institution, Government, Religious Organization, Other, and
Unknown.





































































































































































































Number
of Victims












































































Offense Code






















































































































































































































Offense #1


































































































































































Offense #2




















































































































































Offense #3


































































































































































Offense #4


































































































































































Offense #5












































































































































































































































































































































































































































Location Information
Select an additional location code from the selectable fields below for each additional offense that has a different location than
Offense #1.

























































































































































Location Code
























































































































































































Offense #1











































































































































































Offense #2






















































































































































































Offense #3






















































































































































































Offense #4






















































































































































































Offense #5
































































































































































































































































































































































































































































Bias Motivation Information
Using the toggle buttons located between each set of boxes, move the selected biases in the left-hand list box to the box on the
right.
Select up to five bias motivations from the list boxes for Offenses #2 - #5 having a different bias motivation(s) than Offense #1.
The "Group" bias motivation categories, e.g., Multiple Races-Group; Multiple Religions-Group; and Lesbian, Gay, Bisexual, and
Transgender-Mixed Group, can be selected when the incident involves a group of victims, not individual victims.
























































































































































Select up to 5 bias motivations per offense




























































Selected bias motivations

































































































































































































Offense #1














































































































Offense #2














































































































Offense #3














































































































Offense #4













































































































Offense #5


















































































































































































































































If Race/Ethnicity/Ancestry bias motivation, then select from below:


























































































































































































































































13
Anti-American Indian or Alaska Native

























































































































































































































































































































31
Anti-Arab

















































































































































































































































































































































































14
Anti-Asian















































































































































































































































































































































































12
Anti-Black or African American





























































































































































































































































































































32
Anti-Hispanic or Latino

















































































































































































































































































15
Anti-Multiple Races-Group




































































































































































































































































16
Anti-Native Hawaiian or Other Pacific Islander























































































































































































































































33
Anti-Other Race/Ethnicity/Ancestry









































































































































































































































































































11
Anti-White
























































































































































































































































































































































































































































































































If Religion bias motivation, then select from below:






























































































































































































































































































83
Anti-Buddhist









































































































































































































































































































































































22
Anti-Catholic













































































































































































































































































































































































81
Anti-Eastern Orthodox (Russian, Greek, Other)













































































































































































































































































































84
Anti-Hindu



















































































































































































































































































































































































24
Anti-Islamic (Muslim)



























































































































































































































































































































































28
Anti-Jehovah's Witness























































































































































































































































































































































21
Anti-Jewish


























































































































































































































































































































































29
Anti-Mormon











































































































































































































































































































26
Anti-Multiple Religions-Group








































































































































































































































































82
Anti-Other Christian



































































































































































































































































































































25
Anti-Other Religion































































































































































































































































































































































23
Anti-Protestant









































































































































































































































































































































































85
Anti-Sikh





















































































































































































































































































































































































27
Anti-Atheism/Agnosticism
























































































































































































































































































































































































































































































If Sexual Orientation bias motivation, then select from below:






































































































































































































































































45
Anti-Bisexual










































































































































































































































































































41
Anti-Gay (Male)




















































































































































































































































44
Anti-Heterosexual
















































































































































































































































42
Anti-Lesbian








































































































































































































































































































43
Anti-Lesbian, Gay, Bisexual, or Transgender (Mixed Group)






































































































































































































































































































































































If Disability bias motivation, then select from below:


















































































































































































































































































52
Anti-Mental Disability



























































































































































































































































































































































51
Anti-Physical Disability
































































































































































































































































































































































































































































































If Gender bias motivation, then select from below:


































































































































































































































































































62
Anti-Female















































































































































































































































































































































































61
Anti-Male






















































































































































































































































































































































































































































































































If Gender Identity bias motivation, then select from below:
















































































































































































































































































72
Anti-Gender Non-Conforming















































































































































































































































































































































71
Anti-Transgender







































































































































































































































































































































Victim Information
Select all applicable victim types for each reported offense from the list boxes provided below.
Using the toggle buttons located between each set of boxes, move the selected victim types from the left-hand list box to the box on
the right.

























































































































































Select the applicable victim types







































Selected victim types
















































































































Offense #1






























































































































































































































































































































































































































Offense #2















































































































































































































































































































































































































































































































































































































Offense #3















































































































































































































































































































































































































































































Offense #4





















































































































































































































































































































































































































































































































































































































Offense #5









































































































































































































































































































































































































































































*Number of Victims: When victim type is individual, enter the total number of individuals (persons) who were victims in the incident.
Enter the total number of individuals (persons) who were victims in the incident that are 18 and over.
Enter the total number of individuals (persons) who were victims in the incident that are under the age of 18.
Each fillable field allows for a three-digit number to be entered.












































































































































Total number of victims.

































































































































































































































































Total number of victims 18 and over.

































































































































































































































































Total number of victims under 18.




























































































































































































































































Offender Information





































































































































Number of Offenders: Enter the total number of individuals (persons) who were offenders in the incident.
Enter the total number of individuals (persons) who were offenders in the incident that were 18 and over.
Enter the total number of individuals (persons) who were offenders in the incident that were under the age of 18.
If any of these three fields are unknown, enter 00 in the corresponding two-digit field.
Incidents involving multiple offenders must not be coded as Unknown Offender.
Indicate an Unknown Offender when nothing is known about the offender including the offender's race.
When the Race of Offender(s) has been identified, indicate at least one offender.
Each fillable field allows for a two-digit number to be entered.












































































































































Total number of offenders. If unknown, enter 00.





































































































































































































































































Total number of offenders 18 and over. If unknown, enter 00.





































































































































































































































































Total number of offenders under 18. If unknown, enter 00.
































































































































































































































































Race and Ethnicity of Offender or Offender Group





































































































































If there was more than one offender, provide the race of the group as a whole.
If the offenders within the incident are determined to be from more than one racial group, the "Group of Multiple Races" option
should be selected.
If the number of offenders is entered as Unknown Offender, then the offender's race must also be indicated as Unknown.








































































































































Race









































































































































































































































































































































































































































































































































































































































































































































If there is more than one offender, provide the ethnicity of the group as a whole.
If the offenders within the incident are determined to be from more than one ethnic group, the "Group of Multiple Ethnicities" option
should be selected.
If the number of offenders is entered as Unknown Offender, then the offender's ethnicity must also be indicated as Unknown.








































































































































Ethnicity

























































































































































































































































































































































































































































































































































































































































Sheet 2: Hate Crime Definitions

DEFINITIONS FOR HATE CRIME DATA COLLECTION
To ensure uniformity in reporting nationwide hate crime statistics, the following definitions have been adopted for use in hate crime reporting:


























Bias Crime: A committed criminal offense that is motivated, in whole or in part, by the offender's bias(es) against a race,










religion, disability, sexual orientation, ethnicity, gender, or gender identity; also known as Hate Crime.































Note: Even if the offender was mistaken in his or her perception that the victim was a member of the group he or she was













acting against, the offense is still a bias crime because the offender was motivated by bias against the group.


























Bias: A preformed negative opinion or attitude toward a person or group of persons based on their race, religion, disability,










sexual orientation, ethnicity, gender, or gender identity.


























Racial Bias: A preformed negative opinion or attitude toward a person or group of persons who possess common physical










characteristics, e.g., color of skin, eyes, and/or hair, facial features, etc., genetically transmitted by descent and heredity










which distinguish them as a distinct division of humankind, e.g., Asians, Blacks or African Americans, Whites.































American Indian or Alaska Native: A person having origins in any of the original peoples of North or South America















(including Central America), and who maintains tribal affiliation or community attachment.































Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent















including, for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand,















and Vietnam.































Black or African American: A person having origins in any of the black racial groups of Africa. Terms such as















"Haitian" or "Negro" can be used in addition to "Black or African American."































Multiple Races-Group: A group of persons having origins from multiple racial categories.































Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam,















Samoa, or other Pacific Islands.































White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.


























Ancestry Bias: A preformed negative opinion or attitude toward a group of people based on their common lineage or descent.































Arab: A person having origins, and/or ancestry, in any of the Arabic speaking peoples of Lebanon, Syria, Palestine,















Jordan, Iraq, Saudi Arabia, Yemen, Oman, United Arab Emirates, Qatar, Bahrain, Kuwait, Egypt, Libya, Tunisia,















Comoros, Algeria, Morocco, Sudan, Djibouti, Mauritania, and Samalia.


























Ethnicity Bias: A preformed negative opinion or attitude toward a person or group of people whose members identify with










each other, through a common heritage, often consisting of a common language, common culture (often including a










shared religion) and/or ideology that stresses common ancestry. The concept of ethnicity differs from the closely










related term race in that "race" refers to grouping based mostly upon biological criteria, while "ethnicity" also










encompasses additional cultural factors.































Note: When the FBI's Hate Crime Statistics Program was initially implemented, ethnicity bias was reported as ethnicity/















national origin bias. It was then modified by the OMB's 1997 Revision to the Standards for the Classification















of Federal Data on Race and Ethnicity.































Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture















or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."































Not Hispanic or Latino: A person not of "Spanish origin."


























Religious Bias: A preformed negative opinion or attitude toward a person or group of persons who share the same religious










beliefs regarding the origin and purpose of the universe and the existence or nonexistence of a supreme being, e.g.,










Catholics, Jews, Protestants, Atheists.































Note: The following list of religions represents the major religions in the United States. Neither this list of religions nor the















definitions provided are all-inclusive. A general explanation is provided for each religion.































Buddhist: A person who follows the world religion founded by Siddhartha Gautama, the Buddha, or Enlightened One, in















India; teaches about reincarnation and freedom from worldly attachments; believe that to end suffering, one must



















follow the Four Noble Truths and the Eightfold Path in order to reach nirvana.































Catholic: A person who follows the monotheistic religion of Catholic Christianity founded by Jesus Christ. Catholics















believe in the Trinity, revere the Virgin Mary and saints, follow the teachings of the Bible, place great importance on















church traditions, and require celibacy of those in the priesthood. Catholicism follows a hierarchy of deacons, priests,















bishops/archbishops, and Cardinals, with the Pope being the head of the church.































Eastern Orthodox (Russian, Greek, Other): A person who follows the monotheistic religion of the Eastern Christian















Church founded by Jesus Christ. Orthodox churches follow the teachings of the Bibile and church traditions.















Orthodox churches believe the Holy Spirit proceeds from the Father alone. The Patriarch of Constantinople is the















head of the church and is governed by the Seven Ecumenical Councils. The Orthodox churches split from the Roman















Catholic Church over the issue of papal authority and the belief of the Trinity.































Hindu: A person who follows the religious traditions of Hinduism which includes acceptance of the sanctity of the Vedas















(sacred texts); the understanding of one Devine Reality manifested in multiple forms; acceptance of the laws of karma,















dharma, reincarnation, and the ultimate spiritual goal of enlightenment.































Islamic (Muslim): A person who follows the monotheistic religion of the Muslims, founded by the Prophet Muhammad.















Muslims follow the teachings of the Koran and practice the Five Pillars of Islam: praying, fasting during Ramadan,















almsgiving, pilgrimage, and declaration of faith.































Jehovah's Witness: A person who follows the religion founded by Charles Taze Russell. Members witness by















distributing literature and by personal evangelism to beliefs in the theocratic rule of God, the sinfulness of organized















religions and governments, and an imminent millennium. Jehovah's Witnesses reject the belief of the Trinity and convert















every member into a Witness. Jehovah's Witnesses are governed by the Watchtower Society who makes all major















decisions, interprets the Bible, and counsels witnesses using Watchtower materials.































Jewish (Judaism): A person who follows the religion founded by Abraham of the ancient Hebrews and characterized by















belief in one transcendent God, who has revealed himself to Abraham, Moses, and the Hebrew prophets, and by a















religious life in accordance with Scriptures, the Torah, and rabbinic traditions. Jews anticipate the coming of the















Messiah (person of God) who will unite the world and bring peace to humanity.



































Mormon: A person who follows the religion founded by Joseph Smith; also referred to as Church of Jesus Christ of















Latter-day Saints. Mormons follow the teachings from the Book of Mormon, the Bible, Doctrines and Covenant, the















Pearl of Great Price. Mormonism is characterized by a unique understanding of the Godhead, emphasis on family life,















belief in the continuing revelation, desire for order, respect for authority, and missionary work. The governing bodies















of Mormonism include: the First Presidency (church president and two councilors), the Council of the Twelve















Apostles, the First Quorum of Seventy, a Bishop, and two councilors.































Multiple Religions-Group: A group of persons having religious beliefs from multiple religions.































Other Christian: A person who follows nondenominational religions based on the life and teachings of Jesus Christ.















Examples of these religions include Metaphysical-Christ Church Unity, Spiritualist, Unity/Unitarianist, Unity Church,















Universalist, and Other Metaphysical.































Other Religions: A person who follows other non Christian religions, e.g., the Baha'l Faith, Jainism, Shintoism, Taoism,















Tenrikyo, Wicca, and Zoroastrainism.































Protestant: A person who follows the monotheistic religion of Christianity founded by Jesus Christ. Members affirm the















Reformation prinicples of justification by faith alone, the priesthood of all believers, and the primacy of the Bible as the















only source of revealed truth. Protestant denominations deny the universal authority of the Pope and are governed by















federated councils on the local, national, and international levels. Protestant denominations include but are not limited















to Amish, Assembly of God, Baptist, Church of Christ, Church of God, Episcopalian, Methodist, Lutheran,















Presbyterian, Quaker, and Seventh-day Adventist.































Sikh: A person who follows the monotheistic religion founded by Guru Nanak in the Punjab region of South Asia. Sikhs















follow the teachings of 10 gurus; study from the religion's primary sacred text, the Adi Granth; and worship in temples















called Gurdwaras. Observant Sikhs may be distinguished by the dastarr (turban - men) or bana (women) and five















religious articles: kesh (unshorn hair, including a beard), kanga (wooden comb), kara (steel bracelet), kachera















(short trousers), and kirpan (religious sword).































Atheist: A person who does not believe in the existence of God or gods. Agnostic: A person who believes that the















existence or nature of God cannot be proven; the concept of agnosticism was founded by Thomas Huxley.


























Sexual Orientation Bias: A preformed negative opinion or attitude toward a person or group of persons based on their










actual or perceived sexual orientation.































Bisexual: A person who is physically, romantically, and/or emotionally attracted to people of both the same and opposite










sex.































Gay (Male): A male who is physically, romantically, and/or emotionally attracted to other men.




































Note: Generally this word is used to refer to gay men, but may also be used to describe women. For FBI UCR




















Program purposes, if reporting an anti-gay bias, the victim should be a male.































Heterosexual: A person who is physically, romantically, and/or emotionally attracted to people of the opposite sex.































Lesbian: A female who is physically, romantically, and/or emotionally attracted to other women.































Lesbian, Gay, Bisexual, or Transgender (Mixed Group): Refers to a group of people or community organizations















that serve lesbian, gay, bisexual, transgender, and allied people.


























Disability Bias: A preformed negative opinion or attitude toward a person or group of persons based on their physical or










mental impairments, whether such disability is temporary or permanent, congenital, or acquired by heredity, accident,










injury, advanced age, or illness.































Mental Disability: A person who has a mental or psychological disorder such as mental retardation, organic brain















syndrome, emotional or mental illness, and specific learning disabilities.































Physical Disability: A person who has a physical impairment; any physiological disorder or condition, cosmetic















disconfiguration, or anatomical loss affecting one or more of the following body systems: neurological,















musculoskeletal, special sense organs, respiratory (including speech organs), cardiovascular, reproductive, digestive,















genitourinary, hemic and lymphatic, skin, and endocrine.


























Gender Bias: A preformed negative opinion or attitude toward a person or group of persons based on their actual or










perceived gender, e.g., male or female.































Female: A person of the sex that bear offspring or produce eggs.































Male: A person of the sex that can beget offspring by fertilization or insemination.


























Gender Identity Bias: A preformed negative opinion or attitude toward a person or group of persons based on their actual or










perceived gender identity, e.g., bias against transgender or gender non-conforming individuals.































Gender Non-Conforming: A person who does not conform to the gender-based expectations of society, e.g., a woman















dressed in traditionally male clothing or a man wearing makeup.




































Note: A gender non-conforming person may or may not be a lesbian, gay, bisexual, or transgender person but may




















be perceived as such.































Transgender: A person who identifies as a different gender from their gender as assigned at birth.




































Note: The person may also identify himself or herself as "transsexual."




































Note: A transgender person may express their gender identity through gender characteristics, such as clothing, hair,




















voice, mannerisms, or behaviors that do not conform to the gender-based expectations of society.




































Note: A transgender person may outwardly express his or her gender identity all of the time, part of the time, or




















none of the time; a transgender person may decide to change his or her body to medically conform to his or her




















gender identity.
File Typeapplication/vnd.ms-excel
AuthorPSFAULKNER
Last Modified ByDonahue, Kristi L
File Modified2014-06-18
File Created2005-11-14

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