Supplementary Homicide Report

Forms and Documents

Document Name	Status
Form 1-704 Supplementary Homicide Report Form	Modified
1110-0002_Certification Statement.pdf Supplementary Document	2014-03-18
1110-0002_28usc534.doc Supplementary Document	2014-03-18
1110-0002_83I.pdf Supplementary Document	2014-03-18
1110-0002_Part B attachment, UCR Estimation Models.docx Supplementary Document	2014-03-18
1110-0002_PART B.doc Supporting Statement B	2014-08-27
1110-0002_Support Statement.doc Supporting Statement A	2014-08-27

IC Document Collections

IC ID	Document Title	Status
11789	Supplementary Homicide Report Form	Modified

ICR Details

OMB Control No: 1110-0002	ICR Reference No: 201401-1110-006
Status: Historical Active	Previous ICR Reference No: 201101-1110-001
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Supplementary Homicide Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/27/2014
	Date Received in OIRA: 06/26/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	36 Months From Approved	08/31/2014
Responses	139,027	0	215,820
Time Burden (Hours)	20,855	0	32,373
Cost Burden (Dollars)	846,007	0	376,850

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Abstract: Under Title 28, Section 534, U.S. Code, the Department of Justice, would request Supplementary Homicide data from law enforcement agencies in order to acquire, collect, classify, and preserve national data on criminal offenses as part of the Uniform Crime Reports and publication, Crime in the United States.

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Authorizing Statute(s): US Code: 28 USC 534 Name of Law: Acquisition, preservation, and exchange of identification records
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 16055	03/24/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 30164	05/27/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Supplementary Homicide Report	1-704	Supplementary Homicide Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	139,027	215,820	0	0	-76,793	0
Annual Time Burden (Hours)	20,855	32,373	0	0	-11,518	0
Annual Cost Burden (Dollars)	846,007	376,850	0	0	469,157	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: There is no increase in burden on the individual respondents; however, the overall annual burden hours have decreased from 32,373 to 20,855 which is a decrease of 11,518 burden hours and due to the NIBRS agencies burden hours being accounted for in the NIBRS ICR.

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Annual Cost to Federal Government: $2,700,323

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

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) It 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 recordkeeping 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.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/26/2014

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