Information Collection

National Incident-Based Reporting System (NIBRS)

IC 224541 under ICR 201609-1110-001 · OMB 1110-0057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0057 can be found here:

Documents and Forms

Document Name Document Type
Form UnNumbered National Incident-Based Reporting System (NIBRS) Form
UnNumbered NIBRS Public Information Attachment 1-NIBRS PublicInfo-v6.pdf Form
UnNumbered Participation Email Attachment 2-Participation Email-09302016-v4 2.pdf Form
UnNumbered Potential NIBRS Quest Attachment 3-Potential NIBRS Quest-09232016-v6 3.pdf Form
UnNumbered Participation Consent Attachment 4-ParticipationConsent-09212016-v3.pdf Form
OMB_Generic_Clearance_Memo_NIBRS_Modernization_2016Oct06_v3_Redlined (1).docx Redline IC Document
Attachment 3-Potential NIBRS Quest-09232016-v6 3_Redlined.docx Potential NIBRS Quest IC Document
OMB_Generic_Clearance_Memo_NIBRS_Modernization_2016Oct06_v3.pdf Generic Clearance Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Incident-Based Reporting System (NIBRS)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	UnNumbered	NIBRS Public Information	Attachment 1-NIBRS PublicInfo-v6.pdf	No	Fillable Fileable
Form	UnNumbered	Participation Email	Attachment 2-Participation Email-09302016-v4 2.pdf	No	Fillable Fileable
Form	UnNumbered	Potential NIBRS Quest	Attachment 3-Potential NIBRS Quest-09232016-v6 3.pdf	No	Fillable Fileable
Form	UnNumbered	Participation Consent	Attachment 4-ParticipationConsent-09212016-v3.pdf	No	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	118	118
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Redline	OMB_Generic_Clearance_Memo_NIBRS_Modernization_2016Oct06_v3_Redlined (1).docx	11/22/2016
Potential NIBRS Quest	Attachment 3-Potential NIBRS Quest-09232016-v6 3_Redlined.docx	11/22/2016
Generic Clearance Memo	OMB_Generic_Clearance_Memo_NIBRS_Modernization_2016Oct06_v3.pdf	11/22/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.