83i

1110-0011_OMB 83-I.pdf

ViCAP Case Submission Form

83I

OMB: 1110-0011

Document [pdf]
Download: pdf | pdf
PAPERWORK REDUCTION ACT SUBMISSION
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 Infonnation and Regulatory Affairs, OffIce of Management and Budget, Docket Library, Room 10102, 725 17th Street NW,
Washington, DC 20503.
2. OMB control number

1. AgencylSubagency originating request

3. Type of information collection (check one)
a.

0 New Collection

b.

III

e.

a.
b.

Revision of a currenHy approved collection

c.

III

Regular

0 Emergency - Approval requested by: _1_1_
0 Delegated

5. Small entities
Will this information collection have a significant economic impact on a

collection for which approval has expired
with change, of a previously approved

0 Reinstatemenl

substantial number of small entities?

collection for which approval has expired
f.

0

----

4. Type of review requested (check one)

Extension of a currenHy approved collection
Reinstatemenl without change, of a previously approved

c.
d.

0011
- ----

1110
a. -----

DOJ/FBIICIRGNiCAP

b. ONone

Yes

Existing collection in use without an OMB control number

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

a. ~Three

years from the approval date

121

No

6. Requested expiration date
b.

, ,
L _'

__ 1_-

7. TiHe

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, unidentified human remains.
10. Abstract

Comprehensive case information submitted to ViCAP is maintained in the ViCAP Web National Crime Database and is
comoared to all other cases in the database to identify similarities.
12. Obligation to respond (Mark primary with "PO and a/l others that apply with OX?
11. Affected public (Mark primary with "P" and a/l others with "X")
a. - Individuals or households
b. _ Business or other for-profit
Not-for-profit institutions

d. - Farms

a.

e. ~ Federal Government

b.

f. P State, Local, or Tribal Government

c.
13. Annual reporting and recordkeeping hour burden
b. Total annual responses

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

85

%

d. Current OMB inventory

5000
0
0

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

0
669,630.00
669,630.00
0
669,630.00

a. Total annualized capital/startup costs

1. Percentage of these responses
collected electronically

Required to obtain or retain benefits

c. 0 Mandatory
14. Annual reporting and recordkeeping cost burden(in thousands of dollars)

5000
5000

a. Number of respondents

IE]Voluntary

e. Difference
f. Explanation of difference

0
Sec 3b

1. Program change

2.Adjustment

f. Explanation of difference
1. Program change

Sec 3b
2.Adjustment
15. Purpose of information collection (Mark primary with "p. and a/l others
that apply with OX?
a. _ Application for benefits

16. Frequency of recordkeeping or reporting (check a/l that apply)

o Recordkeeping
Program planning or management c. o Reporting:
a.

e. _

b. _ Program evaluation
f. - Research
c. ..E. General purpose statistics g. _ Regulatory or compliance
d. - Audit
17. Statistical methods
Does this information collection employ statistical methods?
Yes ./ No

b.

0

Third party disclosure

1.

On occasion

2.0

Weekly

4.
7.

Quarterly
Biennially

5.
8. ./

Semi-annually 6. DAnnually
Otiher (desclibe) Crimes Occur

3.

D10nthly

18. Age~cy contact (person who can best answer q!J6stions regarding the content
of this submission)
Name: Lesa Marcolini
Phone: 703-632-4178

OMS 83-1

10195

19. Certification for Paperwork Reduction Act Submissions
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with
5 CFR 1320.9.
NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 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;

(D

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
Gllt 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.

Date


File Typeapplication/pdf
Authorcirgadmin
File Modified2013-10-29
File Created2013-10-29

© 2024 OMB.report | Privacy Policy