Uniform Crime Reporting Data Collection Instrument Pretesting and Burden Estimation General Clearance

Forms and Documents

Document Name	Status
Form 1110-0057 Pilot Study Interviews – Police-Public Contact Form and Instruction	New
Form UnNumbered OMB Clearance for Cognitive Testing of the New Law Enforcement Officers Killed and Assaulted (LEOKA) Database Form and Instruction	New
1110-0057_83I.pdf Supplementary Document	2017-07-11
1110-0057_ Supporting Statement Part B.docx Supporting Statement B	2017-10-04
1110-0057_Supporting Statement A.docx Supporting Statement A	2017-10-04

IC Document Collections

IC ID	Document Title	Status
241546	Pilot Study Interviews – Police-Public Contact Form and Instruction	New
232012	OMB Clearance for Cognitive Testing of the New Law Enforcement Officers Killed and Assaulted (LEOKA) Database Form and Instruction	New

ICR Details

OMB Control No: 1110-0057	ICR Reference No: 201701-1110-008
Status: Historical Active	Previous ICR Reference No: 201609-1110-001
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Uniform Crime Reporting Data Collection Instrument Pretesting and Burden Estimation General Clearance
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 with change	Conclusion Date: 10/04/2017
	Date Received in OIRA: 07/26/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	18,439	0	18,300
Time Burden (Hours)	1,200	0	1,800
Cost Burden (Dollars)	0	0	0

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Abstract: DOJ's CJIS is requesting PRA approval of a new collection that would request assessment comments from local, state, tribal, and federal law enforcement agencies that participate in the FBI UCR Program for the purpose of ensuring the collection instrument can be provided in the desired format, reporting burden is minimized, collection instruments are clearly understood, and the impact of collection requirements on respondents is properly assessed.

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Authorizing Statute(s): None

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:
	82 FR 18311	04/18/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28530	06/22/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Pilot Study Interviews – Police-Public Contact	1110-0057	Pilot Study Interviews – Police-Public Contact (Telephone Interview)
OMB Clearance for Cognitive Testing of the New Law Enforcement Officers Killed and Assaulted (LEOKA) Database	UnNumbered	LEOKA OMB Generic Clearance Web-based Instrument

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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	18,439	18,300	0	139	0	0
Annual Time Burden (Hours)	1,200	1,800	0	-600	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: Miscellaneous Actions

Short Statement: There will be an increase in burden as the projected time for establishing the burden assessment increased from five to fifteen minutes. This adjustment, from 1,800 hours to 1,200 hours is a decrease of 600 hours,

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Annual Cost to Federal Government:

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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)? No

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: 07/26/2017

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