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_Certification Statement.pdf	Supplementary Document	Uploaded 2017-08-22	Available
1110-0002 83I.pdf	Supplementary Document	Uploaded 2017-08-22	Available
1110-0002_28usc534.doc	Supplementary Document	Uploaded 2014-03-18	Available
1110-0002_Supporting Statement Part B.docx	Supporting Statement B	Uploaded 2017-08-22	Available
1110-0002_Supporting Statement A.docx	Supporting Statement A	Uploaded 2017-08-22	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: 201701-1110-002
Status: Historical Active	Previous ICR Reference No: 201401-1110-006
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Supplementary Homicide Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2017
	Date Received in OIRA: 08/30/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	18,844	0	139,027
Time Burden (Hours)	17,111	0	20,855
Cost Burden (Dollars)	114,670	0	846,007

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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.

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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 22561	05/16/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32723	07/17/2017
Did the Agency receive public comments on this ICR? No

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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

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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	18,844	139,027	0	-120,183	0	0
Annual Time Burden (Hours)	17,111	20,855	0	-3,744	0	0
Annual Cost Burden (Dollars)	114,670	846,007	0	-731,337	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease in burden is due to SRS agencies transitioning to NIBRS.

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Annual Cost to Federal Government: $5,412,479

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

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Common Form ICR:  No

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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: 08/30/2017

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