Information Collection Request

Hate Crime Incident Report (1-699)

ICR 202403-1110-003 · OMB 1110-0015 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1-699 Hate Crime Incident Report Form and Instruction Modified Available
Form 1-699 Hate Crime Incident Report Form and Instruction Modified Repair queued
Certification Statement (1110-0015).pdf Supplementary Document Uploaded 2024-03-21 Repair queued
ICR-PA (1110-0015).pdf Supplementary Document Uploaded 2024-03-21 Repair queued
83-I (1110-0015).pdf Supplementary Document Uploaded 2024-03-21 Repair queued
Supporting Statement B (1110-0015).docx Supporting Statement B Uploaded 2024-03-21 Repair queued
Supporting Statement A (1110-0015).docx Supporting Statement A Uploaded 2024-03-21 Repair queued
Matthew Shepard Hate Crimes Prevention Act.docx Supplementary Document Uploaded 2021-01-29 Repair queued
28usc534.dot Supplementary Document Uploaded 2021-01-29 Repair queued
34usc41303.dot Supplementary Document Uploaded 2021-01-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43775 Hate Crime Incident Report Form and Instruction ModifiedHate Crime Incident Report
43775 Hate Crime Incident Report Form and Instruction Modified
43775 Hate Crime Incident Report Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2027 36 Months From Approved 06/30/2024
4,440 0 26,352
518 0 3,374
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Hate Crime Incident Report 1-699

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 4,440 26,352 0 -21,912 0 0
Annual Time Burden (Hours) 518 3,374 0 -2,856 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No