Information Collection

Law Enforcement Officers Killed or Assaulted (LEOKA)

IC 11799 under ICR 202509-1110-001 · OMB 1110-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-705 Law Enforcement Officers Killed or Assaulted (LEOKA) Law Enforcement Officers Killed or Assaulted (LEOKA)	Form and Instruction
1-705 Law Enforcement Officers Killed or Assaulted (LEOKA) Form 1-705 Law Enforcement Officers Killed or Assaulted - pdf version.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	1-705				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,084

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	Previously Approved
Annual Number of Responses for this IC	13,008	-51,726	64,734
Annual IC Time Burden (Hours)	1,518	-6,034	7,552
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].