View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1110-0070	ICR Reference No: 202304-1110-004
Status: Active	Previous ICR Reference No: 202008-1110-001
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Credit Card Payment Form (1-786)
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: 10/05/2023
	Date Received in OIRA: 07/21/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	36 Months From Approved	10/31/2023
Responses	28,039	0	80,000
Time Burden (Hours)	935	0	2,667
Cost Burden (Dollars)	504,702	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	28,039	80,000	-51,961
Annual Time Burden (Hours)	935	2,667	-1,732
Annual Cost Burden (Dollars)	504,702	0	504,702

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 1-786 accounts for approximately ten percent of all payments for applications to obtain an individual’s copy of record. The other 90% of payments are rendered via online credit card payment or mailed certified check or money order.

Annual Cost to Federal Government: $1,458,803

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: Larry Cotton-Zinn 304 625-2873

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