Information Collection

National Crime Information Center (NCIC) Success Capture

IC 259544 under ICR 202309-1103-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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			NCIC Success Capture Form.docx		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	Previously Approved
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	GEN IC Template - CJIS NCIC Success Capture Form.docx	04/06/2023

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