83i

PA PERW ORK REDUCTION A CT SUBM ISSION

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 10102, 725 17th Street NW,
Washington, DC 20503.
1. Agency/Subagency originating request

2. OM B control nu mbe r
a. 1110

DOJ/FBI/CIRG/ViCAP

-

b.

3. Type of information collection (check one)
a.
New collection
b.
Revision of a currently approved collection
✔
c.
Extension, without change, of a currently approved collection
d.
Reinstatement, without change, of a previously approved collection for
which approval has expired
e.
Reinstatement, with change, of a previously approved collection for which
approval has expired
f.
Existing collection in use without an OMB control number

4. Type of review requested (check one)
a. ✔ Regular
b.
Em ergency - A pproval reque sted by:
c.
Delegated

3a. Public C omm ents
Has the agency received public comments on this information collection?

6. Requ ested expiration d ate
a. ✔ Three years from approval date

✔

Yes

None

0011

/

/

5. Small entities
Will this information collection have a significant economic impact on a
✔ No
substantial number of small entities?
Yes

b.

Other Specify:

/

No

7. Title

ViCAP Case Submission Form
8. Agenc y form num ber(s) (if applicable)

FD-676
9. Keywords

ViCAP, National repository for violent crimes, Homicides, Sexual assaults, Missing persons, Unidentified human remains
10. Abstract

Comprehensive violent crime case information submitted to ViCAP by law enforcement is maintained in the ViCAP Web
National Crime Database and is compared to all other cases in the database to identify potentially related cases.

11. Affected public (Mark primary with "P" and all others that apply with "X")
a.
b.
c.

Individuals or households
Bus iness or othe r for-pro fit
Not-for-profit institutions

d.
F a rm s
e. X Federal Government
f. P State, Local or T ribal Govern men t

13. Annual reporting and recordkeeping hour burden
a. Num ber of respond ents
b. Total annual responses
1.Percentage of these responses

collected electronically

c. Total annual hours requested
d. Current O MB inventory
e. Difference
f. Explanation of difference
1. Program change
2. Adjustment

5000
10000
5000

a.
b.
c.

P

Voluntary
Required to obtain or retain bene fits
Mand atory

14. Annual reporting and recordkeeping cost burden (in thousands of dollars)
a. Total annualized capital/startup costs
b . T o ta l a nn ua l c os ts (O & M )

c. Total annualized cost requested

d. Current O MB inventory
e. Difference
f. Explanation of difference
1. Program change
2. Adjustment

0

5000
5000

85

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

%

0
0

0
0

0
0

5000

15. Purpose of information collection
others that apply with "X")

Application for be nefits
a.
Program evaluation
b.
c.
General purpose statistics
Aud it
d.

(M ark prim ary with "P " an d all
e. P Program planning or management
f.
g.

Research
Regulatory or compliance

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

OMB 83-I

✔ No

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

a.
Reco rdkeeping
b.
Third party disc losure
c. ✔ Reporting
Wee kly
Mo nthly
1. ✔ On occ asion
2.
3.
Sem i-annually 6.
Ann ually
4.
Quarterly
5.
7.
Biennially
8.
Other (de scribe)
18. Agen cy contact (person who can bes t ans we r qu es tion s reg ard ing the c on ten t of this
submission)
Nam e:

Lesa Marcolini

Phone:

703-632-4178
02/04