Information Collection

National Crime Information Center (NCIC) Success Capture

IC 259544 under ICR 202304-1103-001 · OMB 1103-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NCIC Success Capture Form.docx	Other-Survey
NCIC Success Capture Form.docx	Other-Survey
GEN IC Template - CJIS NCIC Success Capture Form.docx CJIS NCIC Success Capture Form	IC Document
GEN IC Template - CJIS NCIC Success Capture Form.docx CJIS NCIC Success Capture Form	IC Document

IC Title:

National Crime Information Center (NCIC) Success Capture

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
Other-Survey					Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 525

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	525	525
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CJIS NCIC Success Capture Form		04/06/2023

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

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