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Table D: Transfers to Other Participating Law Enforcement Agencies <br />Receiving Agency Name, City, and State <br />Agency Name: <br />NCIC/ORI/Tracking Number: <br />Table E: Support of Community-based Programs <br />Recipient <br />Table F: Expenditures not Categorized in (a) - (n) Above <br />Description <br />Justice Funds <br />Treasury Funds <br />Justice Funds Treasury Funds <br />Table G: Salaries <br />Salary Type <br />n Overtime (' Match for Federal Salary Grant <br />C DARE/SRO Officer (' Federal Task Force Replacement Officer <br />Table H: Civil Rights Cases <br />Name of Case <br />Justice Funds Treasury Funds <br />Justice Funds Treasury Funds <br />Type of Discrimination Alle4ed <br />Paperwork Reduction Act Notice <br />Under the Paperwork Reduction Act, a person is not required to respond to a collection of information <br />unless it displays a valid OMB control number. We try to create accurate and easily understood forms that <br />impose the least possible burden on you to complete. The estimated average time to complete this form is <br />30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for making this <br />form simpler, please write to the Asset Forfeiture and Money Laundering Section: <br />1400 New York Avenue, N.W., Washington, DC 20005. <br />Page 3 of 5 <br />February 2015 <br />Version 3.1 <br />41 <br />❑ Race <br />❑ Color <br />❑ National <br />Origin <br />❑ Gender <br />❑ Disability <br />❑ Age <br />❑ Other <br />Paperwork Reduction Act Notice <br />Under the Paperwork Reduction Act, a person is not required to respond to a collection of information <br />unless it displays a valid OMB control number. We try to create accurate and easily understood forms that <br />impose the least possible burden on you to complete. The estimated average time to complete this form is <br />30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for making this <br />form simpler, please write to the Asset Forfeiture and Money Laundering Section: <br />1400 New York Avenue, N.W., Washington, DC 20005. <br />Page 3 of 5 <br />February 2015 <br />Version 3.1 <br />41 <br />