83i

Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your agency's Paperwork
Clearance Officer. Send two copies of this form,the collection instrument to be reviewed, the Supporting Statement, and any additional documentation
to: Office of Information
and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 101C~ 7:t51Ah
Street NW,
Washington, DC aHB
1. Agency/Subagency

originating request

2. OMB control number

1110
a. -----

DOJ/FBINiolent Criminal Apprehension Program
3. Type of information collection (check one)
a. 0
b.
c.

a. [{]

of a currently approved collection

Extension of a currently approved collection
Reinstatement, without

d.

e. 0

0011
- ----

----

change, of a previously approved

Regular

b. 0

Emergency - Approval requested by: _1_1_

c. 0

Delegated

5. Small entities

collection for which approval has expired

Will this information collection have a significant economic impact on a

Reinstatement, with change, of a previously approved

substantial number of small entities?

collection for which approval has expired

f.

None

4. Type of review requested (check one)

New Collection

IZl Revision

b. 0

o Existing collection

Yes

in use without an OMB control number

IZl

No

6. Requested expiration date

For b-f, note Item A2 of Supporting Statement instructions

illThree

a.

years from the approval date

- -,
I
b. I.._ I __I_-

7. Title

ViCAP Case Submission Form
8. Agency form number(s) (if applicable)

FD-676
9. Keywords

ViCAP; National repository for violent crimes; homicides, sexual assaults, missing persons, and unidentified human remains.
10. Abstract

Comprehensive case information submitted to ViCAP is maintained in the ViCAP Web National Crime Database and is
automaticallv compared to all other cases in the database to identifv similarities.
11. Affected public (Mark primary with "P' and all others with "X')
a. - Individuals or households
b. _ Business or other for-profit

d.

c.

f.

Not-for-profit

institutions

e.

12. Obligation to respond (Mark primary with 'P" and all others that apply with "X')

Farms

- Federal Government
P State, Local, or Tribal

b.
Government

10,000
10,000

b. Total annual responses

Required to obtain or retain benefits

o Mandatory

c.

14. Annual reporting and record keeping cost burden(in thousands of dollars)

13. Annual reporting and record keeping hour burden
a. Number of respondents

[2J Voluntary

a.

a. Total annualized capital/startup

0
976,029
976,029
0
976,029

costs

b. Total annual costs (O&M)
c. Total annualized cost requested

1. Percentage of these responses

95

collected electronically

%

d. Current OMB inventory

10,0000
0
0

c. Total annual hours requested
d. Current OMB inventory
e. Difference

e. Difference
f. Explanation of difference

0
Sec 3 b

1. Program change

f. Explanation of difference

2. Adjustment

1. Program change

Sec 3 b

2. Adjustment

15. Purpose of information collection (Mark primary with "P' and all others
that apply with "Xj

a. 0

a. _ Application for benefits

e. _ Program planning or management

b. _ Program evaluation

f - Research
g. _ Regulatory or compliance

c . .E General purpose statistics

16. Frequency of record keeping or reporting (check all that apply)

d. - Audit

c.

Recordkeeping

o Reporting

b. 0

Third party disclosure

1.

On occasion

2.0

Weekly

4.
7.

Quarterly

5.

Semi-annually

Biennially

8. .f Other (describe)

Dv10nthly

3.

DAnnually

6.

Crimes occur

18. Agency contact (person who can best answer questions regarding the content

17. Statistical methods
Does this information collection employ statistical methods?
Yes

.f

No

of this submission)
Name:

Lesa Marcolini

Phone:

703-632-4178

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with
5CFR 1320.9.
NOTE: The text of 5CFR 1320.9, and the related provisions of 5CFR 1320.8(b)(3), appear at the end of the
instructions. The certification is to be made with reference to those regulatory provisions as set forth in
the instructions.
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) If avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for record keeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected (see note in Item 19 of the instructions);
(i) It uses effective and efficient statistical survey methodology (if applicable); and
0) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item below and explain the reason in
Item 18 of the Supporting Statement.