Law Enforcement Suicide Data Collection

Forms and Documents

Document Name	Status
Form Unnumbered Law Enforcement Suicide Data Collection Form and Instruction	New
83I - LESDC.pdf Supplementary Document	2021-11-29
OMB Memo on Timeframe for Final Authorization of the LESDC.docx Supplementary Document	2021-11-29
LESDC Supporting Statement B.docx Supporting Statement B	2021-11-29
LESDC Supporting Statement A.docx Supporting Statement A	2021-11-29

IC Document Collections

IC ID	Document Title	Status
250573	Law Enforcement Suicide Data Collection Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202108-1110-003
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Law Enforcement Suicide Data Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/30/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	300	0
Time Burden (Hours)	150	0
Cost Burden (Dollars)	0	0

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Abstract: Under Title 34, Section 50701, the Law Enforcement Suicide Data Collection Act, the Law Enforcement Suicide Data Collection requests data on suicides and attempted suicides within the law enforcement community.

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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:
	86 FR 49567	09/03/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 66591	11/23/2021
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
Law Enforcement Suicide Data Collection	Unnumbered	Law Enforcement Suicide Data Collection

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ICR Summary of Burden

	Total Request	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	300	0	0	300	0	0
Annual Time Burden (Hours)	150	0	0	150	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Based on useability assessment and testing, the FBI UCR Program anticipates an average of 25-30 minutes of burden response submitted for the LESDC. This is based on responses received during the pilot and any internal testing procedures.

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Annual Cost to Federal Government: $9,115,124

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.     Yes

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.     Yes

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? No

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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: 11/30/2021

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