111-0009 Memo

1110-0009 Memorandum.doc

Analysis of Law Enforcement Officers Killed or Assaulted

111-0009 Memo

OMB: 1110-0009

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MEMORANDUM TO: Melody Braswell

Deputy Clearance Officer

United States Department of Justice

FROM: Kristi L. Donahue

Management/Program Analyst

Federal Bureau of Investigation


SUBJECT: Revision of a currently approved collection

Form 1-701, 1-701a

OMB Number 1110-0009

Expires 08-31-2017

Law Enforcement Officers Killed and Assaulted Program, Analysis of Officers Feloniously Killed and Assaulted; and

Law Enforcement Officers Killed and Assaulted Program, Analysis of Officers Accidentally Killed

Attached is the Information Collection Request (ICR), Law Enforcement Officers Killed and Assaulted Program, Analysis of Law Enforcement Officers Feloniously Killed and Assaulted; and Law Enforcement Officers Killed and Assaulted Program, Analysis of Officers Accidentally Killed. The Federal Bureau of Investigation’s (FBI) Uniform Crime Reporting (UCR) Program is requesting an extension of a currently approved collection and submission to the Office of Management and Budget (OMB). The requirements of this collection are prescribed by Title 28, U. S. Code, Section 534. These forms are the means by which law enforcement agencies report circumstances regarding law enforcement officers killed and/or assaulted and injured with a firearm or a knife/other cutting instrument data to the FBI. Following auditing and processing, the data are published in Law Enforcement Officers Killed and Assaulted and maintained within the FBI UCR Program database.


The following documents are contained in this ICR package:


1. OMB Form 83-I Paperwork Reduction Act Submission

2. Supporting Statement A and B

3. Certification Statement

4. Form used to collect the information

5. Law or authority mandating the information collection

6. 60-day ICR notice that will be published in the Federal Register

7. 30-day ICR notice that will be published in the Federal Register


If there are any questions concerning this ICR, please contact Ms. Kristi L. Donahue, Federal Bureau of Investigation, Crime Statistics Management Unit, Module E3, 1000 Custer Hollow Road, Clarksburg, West Virginia 26306; telephone: (304) 625-2972, facsimile: (304) 625-3566, e-mail: <[email protected]>.


Thank you

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