83i

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 Information
Washington, DC 20503.

1. Agency/Subagency

and Regulatory

Affairs,

Office of Management

originating request

and Budget,

Docket

Library,

Room 10102, 725 17th Street NW,

2. OMB control number

DOJ/FBI

a.

3. Type of information collection (check one)

1110
-----

b. D

0005
- ----

---_

4. Type of review requested (check one)

a. D

New Collection

a. ~

Regular

b. D

Revision of a currently approved collection

b. D

Emergency - Approval requested by: __

c. D

Delegated

c. V' Extension of a currenlly approved collection
d.

Reinstatement,

e. D

without

change, of a previously approved

/_/

__

5. Small entities

collection for which approval has expired

Will this information collection have a significant economic impact on a

Reinstatement, with change, of a previously approved

substantial number of small entities?

collection for which approval has expired
f. D

None

Yes

Existing collection in use without an OMB control number

For b-f. note Item A2 of Supporting Statement instructions

a. ~

~

No

6. Requested expiration date
Three years from the approval date

b.

--

I

•..

I
I

-_/_-

7. Title

Age, Sex, Race, & Ethnicity of Persons Arrested 18 Yrs of Age & Over; ASRE of Persons Arrested Under 18 Yrs of Age
8. Agency form number(s) (if applicable)

1-708 and 1-708a
9. Keywords

Age, Sex, Race, Ethnicity, Persons Arrested
10. Abstract

Under 34 U.S.C. § 41303 & 28, U.S.C. § 534, this collection requests arrest data from federal, state, county, city, and tribal
law enforcement for the FBI's UCR Program to serve as the national clearinghouse for the collection of arrest data.
11. Affected public (Mark primary with 'P' and aI/ others with "X'J
a.

-

Individuals or households

d.

-

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

Farms

!El Voluntary

a.

b. _ Business or other for-profit

e. ~ Federal Govemment

b.

c. _ Not-for-profit institutions

f . .E. State, Local, or Tribal Government

c. DMandatory

13. Annual reporting and recordkeeping hour burden

14. Annual reporting and recordkeeping

6390
64112

a. Number of respondents
b. Total annual responses

a. Total annualized capital/startup

%

28,851
39,886
-11,035

d. Current OMB inventory
e. Difference

0
0
0
0
0

c. Total annualized cost requested

100

c. Total annual hours requested

cost burden(in thousands of dol/ars)

costs

b. Total annual costs (O&M)

1. Percentage of these responses
collected electronically

Required to obtain or retain benefits

f. Explanation of difference

d. Current OMB inventory
e. Difference
f. Explanation of difference

0
0

1. Program change
2. Adjustment

1. Program change

-11,035

2. Adjustment

15. Purpose of information collection (Mark primary with "P" and aI/ others
that apply with "X")
a. _ Application for benefits

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

e. _ Program planning or management

Recordkeeping

b. _ Program evaluation

f.2S. Research

1.

On occasion

c. .E. General purpose statistics

g. _ Regulatory or compliance

4.

Quarterly

7.

Biennially

d. - Audit

Third party disclosure

2.0
5.
8.

Weekly

3.

Semi-annually

6.

~onthly

oAnnually

Other (describe)

18. Agency contact (person who can best answer questions regarding the content

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

No

of this submission)
Name: Malissa
Phone:

OMB 83-1

b. D

c. ~Reporting:

C. Vavra

(304) 625-3010
10/95

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;
(ij 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 (see note in Item 19 of the instructions);
(i) It uses effective and efficient statistical survey methodology (if applicable); and

m It 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.

Signature of Senior Official or designee

OMB83·1

Date

10/95