View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1110-0068	ICR Reference No: 202111-1110-001
Status: Historical Active	Previous ICR Reference No: 201710-1110-007
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Records Modification Form (FD-1115)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/05/2022
	Date Received in OIRA: 01/11/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2025	36 Months From Approved	04/30/2022
Responses	79,756	0	119,293
Time Burden (Hours)	6,646	0	19,882
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	79,756	119,293	-39,537
Annual Time Burden (Hours)	6,646	19,882	-13,236
Annual Cost Burden (Dollars)	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: The Number of Respondents has changed to include federal agencies. The Total annual responses decreased as part of normal yearly receipts. Minutes per response decreased to reflect a more accurate processing time per form. The Annual hour burden decreased as a result of the reduction in Minutes per response.

Annual Cost to Federal Government: $648,554

Does this IC contain surveys, censuses, or employ statistical methods? No

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

Agency Contact: Kelly Matlick 304 625-5934

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