Information Collection Request

Supplementary Homicide Report

ICR 202401-1110-001 · OMB 1110-0002 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1-704 Supplementary Homicide Report Form Modified Available
Supporting Statement B (2023) (1110-0002).docx Supporting Statement B Uploaded 2024-01-23 Repair queued
Supporting Statement A (2023) (1110-0002).docx Supporting Statement A Uploaded 2024-01-23 Repair queued
ICR-PA (1110-0002).pdf Supplementary Document Uploaded 2024-01-22 Repair queued
Certification Statement (1110-0002).pdf Supplementary Document Uploaded 2024-01-22 Repair queued
83-I (1110-0002).pdf Supplementary Document Uploaded 2024-01-22 Repair queued
28usc534.docx Supplementary Document Uploaded 2020-10-30 Repair queued
34usc41303.docx Supplementary Document Uploaded 2020-10-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
11789 Supplementary Homicide Report Form ModifiedSupplementary Homicide Report
11789 Supplementary Homicide Report Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2027 36 Months From Approved 04/30/2024
71,204 0 88,637
10,681 0 13,296
433,291 0 539,374





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Supplementary Homicide Report 1-704

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 71,204 88,637 0 -17,433 0 0
Annual Time Burden (Hours) 10,681 13,296 0 -2,615 0 0
Annual Cost Burden (Dollars) 433,291 539,374 0 -106,083 0 0


Reginfo record details
  No