Information Collection

OMB Clearance for Cognitive Testing of the New Law Enforcement Officers Killed and Assaulted (LEOKA) Database

IC 232012 under ICR 201701-1110-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form UnNumbered OMB Clearance for Cognitive Testing of the New Law Enforcement Officers Killed and Assaulted (LEOKA) Database	Form and Instruction
UnNumbered LEOKA OMB Generic Clearance Web-based Instrument LEOKA OMB Generic Clearance Web-based Instrument.pdf	Form and Instruction
LEOKA OMB Generic Clearance Memo - Cognitive Testing.docx LEOKA OMB Generic Clearance Memo - Cognitive Testing	IC Document

IC Title:

OMB Clearance for Cognitive Testing of the New Law Enforcement Officers Killed and Assaulted (LEOKA) Database

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	UnNumbered	LEOKA OMB Generic Clearance Web-based Instrument	LEOKA OMB Generic Clearance Web-based Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
LEOKA OMB Generic Clearance Memo - Cognitive Testing	LEOKA OMB Generic Clearance Memo - Cognitive Testing.docx	06/29/2018

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