OMB control number

Supplementary Homicide Report

OMB 1110-0002 · DOJ/FBI.

OMB 1110-0002

Under Title 28, United States Code (U.S.C.), Section (§) 534, Acquisition, Preservation, and Exchange of Identification Records and Information; Appointment of Officials and the Uniform Federal Crime Reporting Act of 1988, 34 U.S.C. § 41303, this collection requests homicide data from federal, state, local, and tribal law enforcement agencies in order for the FBI UCR Program to serve as the national clearinghouse for collection and dissemination of homicide data.

The latest form for Supplementary Homicide Report expires 2027-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement B (2023) (1110-0002).docx (document unavailable) Supporting Statement B
Supporting Statement A (2023) (1110-0002).docx Supporting Statement A
ICR-PA (1110-0002).pdf (document unavailable) Supplementary Document
Certification Statement (1110-0002).pdf (document unavailable) Supplementary Document
83-I (1110-0002).pdf Supplementary Document
28usc534.docx (document unavailable) Supplementary Document
34usc41303.docx (document unavailable) Supplementary Document
Supplementary Homicide Report Instruction

All Historical Document Collections

202401-1110-001 Approved without change	Extension without change of a currently approved collection	2024-01-31
202007-1110-003 Approved without change	Extension without change of a currently approved collection	2020-10-30
201701-1110-002 Approved without change	Extension without change of a currently approved collection	2017-08-30
201401-1110-006 Approved without change	Extension without change of a currently approved collection	2014-06-26
201101-1110-001 Approved without change	Revision of a currently approved collection	2011-05-19
200801-1110-003 Approved without change	Reinstatement without change of a previously approved collection	2008-02-06
200707-1110-001 Improperly submitted and continue	Revision of a currently approved collection	2007-09-12
200407-1110-001 Approved without change	Extension without change of a currently approved collection	2004-07-13
200103-1110-001 Approved without change	Extension without change of a currently approved collection	2001-03-27
199801-1110-001 Approved without change	Extension without change of a currently approved collection	1998-01-26
199603-1110-001 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-03-29
199503-1110-002 Approved without change	Extension without change of a currently approved collection	1995-03-30
199208-1110-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1992-08-12
199203-1110-002 Approved without change	Revision of a currently approved collection	1992-03-20
198902-1110-003 Approved without change	Extension without change of a currently approved collection	1989-02-28
198602-1110-003 Approved without change	Extension without change of a currently approved collection	1986-02-06
198404-1110-004 Approved without change	Extension without change of a currently approved collection	1984-04-20
198209-1110-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-09-23
198201-1110-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-01-19
198201-1110-004 Approved without change	Revision of a currently approved collection	1982-01-27
198001-1110-001 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-01-31
197908-1110-001 Approved without change	Revision of a currently approved collection	1979-08-01
197810-1110-001 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-10-30
197505-1110-001 Approved without change	Revision of a currently approved collection	1975-05-06