OMB control number

Law Enforcement Officers Killed or Assaulted (LEOKA)

OMB 1110-0006 · DOJ/FBI.

OMB 1110-0006

Under Title 28, U.S.C., Sect. 534, this collection requests LEOKA data from local, state, tribal, and federal law enforcement agencies in order for the FBI UCR Program to serve as the national clearing house for collection and dissemination of data.

The latest form for Law Enforcement Officers Killed or Assaulted (LEOKA) expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1-705 Law Enforcement Officers Killed or Assaulted (LEOKA) Form and Instruction
Privacy Act Statement - LEOKA 1-705 (1110-0006).docx Supplementary Document
ICR-PA (1110-0006).pdf Supplementary Document
Cert. Stmnt. (1110-0006).pdf Supplementary Document
83-I (1110-0006).pdf Supplementary Document
Supporting Statement B (1110-0006).docx Supporting Statement B
Supporting Statement A (1110-0006).docx Supporting Statement A
1110-0006 Privacy Assessment.pdf Supplementary Document
28usc534.doc Supplementary Document
Certification Statement.pdf Supplementary Document
Law Enforcement Officers Killed or Assaulted (LEOKA) Form and Instruction

All Historical Document Collections

202509-1110-001	Extension without change of a currently approved collection	2025-09-22
202208-1110-001 Approved without change	Extension without change of a currently approved collection	2022-09-30
201904-1110-002 Approved without change	Extension without change of a currently approved collection	2019-07-29
201507-1110-010 Approved without change	Extension without change of a currently approved collection	2016-05-12
201211-1110-006 Approved without change	Extension without change of a currently approved collection	2013-02-13
200911-1110-003 Approved without change	Extension without change of a currently approved collection	2010-02-23
200701-1110-004 Approved without change	Revision of a currently approved collection	2007-03-21
200404-1110-002 Approved with change	Extension without change of a currently approved collection	2004-04-01
200312-1110-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-12-09
200312-1110-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-12-08
200010-1110-001 Approved without change	Revision of a currently approved collection	2000-10-31
199906-1110-003 Approved without change	Reinstatement without change of a previously approved collection	1999-06-22
199603-1110-002 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-03-29
199511-1110-003 Approved without change	No material or nonsubstantive change to a currently approved collection	1995-11-28
199501-1110-001 Approved without change	Extension without change of a currently approved collection	1995-01-19
199203-1110-001 Approved without change	Reinstatement with change of a previously approved collection	1992-03-06
199201-1110-001 Disapproved	Reinstatement without change of a previously approved collection	1992-01-09
198811-1110-001 Approved without change	Revision of a currently approved collection	1988-11-21
198510-1110-001 Approved without change	Reinstatement with change of a previously approved collection	1985-10-23
198309-1110-001 Approved without change	Revision of a currently approved collection	1983-09-16
198209-1110-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-09-23
198107-1110-001 Approved without change	Extension without change of a currently approved collection	1981-07-24
198102-1110-002 Approved without change	Extension without change of a currently approved collection	1981-02-19
197812-1110-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-12-21
197810-1110-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-10-30
197802-1110-002 Approved without change	Extension without change of a currently approved collection	1978-02-28