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OMB Control No: 1110-0070	ICR Reference No: 202609-1110-002
Status: Received in OIRA	Previous ICR Reference No: 202304-1110-004
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	Date Submitted to OIRA: 09/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	36,385	28,039
Time Burden (Hours)	1,213	935
Cost Burden (Dollars)	33,623	504,702

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	36,385	28,039	8,346
Annual Time Burden (Hours)	1,213	935	278
Annual Cost Burden (Dollars)	33,623	504,702	-471,079

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: Increase in number of respondents.

Annual Cost to Federal Government: $2,728,206

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: Brian Cain 304 625-7250

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