OMB control number

Death in Custody Reporting Act

OMB 1121-0365 · DOJ/OJP.

OMB 1121-0365

The Death in Custody Reporting Act requires states and federal law enforcement agencies to report certain information to the Attorney General regarding the death of any person occurring during interactions with law enforcement officers or while in custody. It further requires the Attorney General and the Department of Justice (Department) to collect the information, establish guidelines on how it should be reported, annually determine compliance and address non-compliance.

The latest form for Death in Custody Reporting Act expires 2028-03-31 and is listed under ICR 202412-1121-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
State Corrections Incident Report for Prison Input	Form
State Corrections Incident Report for Prison Input	Form
State Corrections Incident Report Jail Input	Form
State Corrections Incident Report Jail Input	Form
State Correction Incident Report	Form
State Correction Incident Report	Form
LEA Incident Report for LEA Input	Form
LEA Incident Report for Lea Input	Form
LEA Incident Report	Form
LEA Incident Report	Form
Quarterly Summary Prisons Input	Form
Quarterly Summary Persons Input	Form
Quarterly Summary Jail Input	Form
Quarterly Summary Jail Input	Form
Quarterly Summary LEA Input	Form
Quarterly Summary LEA Input	Form
Quarterly Summary	Form
Quarterly Summary	Form
DICRA Legislation.pdf	Supplementary Document
DICRA Legislation.pdf	Supplementary Document
BJA DICRA Part B OMB Responses Final 2 (1).docx	Supporting Statement B
BJA DICRA Part B OMB Responses Final 2 (1).docx	Supporting Statement B
DCRA supporting statement_2024.docx	Supporting Statement A
DCRA supporting statement_2024.docx	Supporting Statement A
State Corrections Incident Report for Prison Input	Form
State Corrections Incident Report for Prison Input	Form
State Corrections Incident Report Jail Input	Form
State Corrections Incident Report Jail Input	Form
State Correction Incident Report	Form
State Correction Incident Report	Form
LEA Incident Report for Lea Input	Form
LEA Incident Report for Lea Input	Form
LEA Incident Report	Form
LEA Incident Report	Form
Quarterly Summary Persons Input	Form
Quarterly Summary Persons Input	Form
Quarterly Summary Jail Input	Form
Quarterly Summary Jail Input	Form
Quarterly Summary LEA Input	Form
Quarterly Summary LEA Input	Form
Quarterly Summary	Form
Quarterly Summary	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202412-1121-002	Reinstatement without change of a previously approved collection	2024-12-17
202108-1121-004	Reinstatement without change of a previously approved collection	2021-09-20
201904-1121-002	New collection (Request for a new OMB Control Number)	2019-04-12	Approved with change
201810-1121-004	New collection (Request for a new OMB Control Number)	2018-10-23	Improperly submitted

OMB Details

Quarterly Summary

Federal Enterprise Architecture: Law Enforcement - Leadership Protection

Information collection instruments
Form	Name	Electronic access	Type
Form none	Quarterly Summary	TBD	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.