83i

PAPERW ORK REDUCTION ACT SUBM ISSION
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 and Regulatory
Affairs, Office of Management and Budget, Docket Library, Room 10102, 72 17th Street NW, Washington, DC 20503.
1. Agency/Subagency originating request

D epartment of Justice, Federal B ureau of Investigation ,
C riminal Justice Information Services D ivision
3. Type of information collection (check one)
a.
New collection
b. X Revision of a currently approved collection
c. __ Extension of a currently approved collection
d.
Reinstatement, without change, of a previously approved
collection for which approval has expired
e.
Reinstatement, with change, of a previously approved
collection for which approval has expired
f.
Existing collection in use without an OMB control number
For b-f, note Item A2 of Supporting Statement Instructions

2. O M B control number
a. 1 1 1 0 - 0 0 3 9

b.

N one

4. Type of review requested (check o ne)
a. X Regular
b.
Emergency - Approval requested by: ___/___/___
c.
Delegated
5. Small entities
Will this information collection have significant economic impact
on a substantial number of small entities?
Yes X No
6. Requested expiration date
a. X Three years from the approval date
b.
Other Specify: ____/____

7. Title: Federal B ureau of Investigation B ioterrorism Preparedness Act: Entity/Individual Information
8. Agency form number(s) (if ap p lica b le ) FD -961
9. Keywords Bioterrorism, Select Agents, Toxins, Security Risk Assessment
10. Abstract DOJ’s CJIS is requesting PRA approval of a revision to an existing collection that would require information on individuals who have been identified as requiring
access to specific agents for the purpose of making recommendations as to whether individuals should be denied access or granted limited access to the select biological agents
and toxins.
11. Affected public (M a r k p r im a r y w ith "P " a n d a ll o th e r s th a t a p p ly w ith "X ")
12. Obligation to respond (M a r k p r im a r y w ith "P " a n d a ll o th e r s th a t a p p ly w ith "X ")
a. x Individuals or households
d.
Farms
a.
Voluntary
b. x Business or other for profit e. x Federal Government
b.
Required to obtain or retain benefits
c. x Not-for-profit institutions
f. P State, Local, or Tribal Government
c. P Mandatory
13. Annual reporting and record keeping hour burden
a. Number of respondents
b. Total annual responses
1. Percentage of these responses
collected electronically
c. Total annual hours requested
d. Current OMB Inventory
e. Difference
f. Explanation of difference
1. Program Change
2. Adjustment

3,774 (FY17 )
3,774 (FY1 7)
0%
5,661
6953
-1292

14. Annual reporting and record keeping cost burden (in thousands of dollars)
a. Total annualized capital/startup costs
0
b. Total annual costs (O&M)
0
c. Total annualized cost requested
683
d. Current OMB Inventory
838
e. Difference
-155
f. Explanation of difference
1. Program Change
2. Adjustment
-155

-1292

15. Purpose of information collection (Mark primary with "P" and all others
that apply with "X")
a.
Application for benefits
e.
Program planning or management
b.
Program Evaluation
f.
Research
c.
General Purpose Statistics
g. P Regulatory or Compliance
d.
Audit

16. Frequency of recordkeeping or reporting (check all that apply)
a.
Recordkeeping
b.
Third Party Disclosure
c. X Reporting
1.
On occasion
2. x Weekly
3.
Monthly
4.
Quarterly
5.
Semi-annually 6.
Annually
7.
Biennially
8.
Other (describe) ____________

17. Statistical Methods
Does this Information Collection employ statistical methods?

18. Agency contact (person who can best answer questions regarding the content of
this submission)

o Yes

x No

Name: Kimberly A. Webber Supervisory Personnel Security

Phone:

O M B 83-I

Specia list
Global Operations Section/CJIS Division Intelligence
Group
FBI, C JIS D ivision
(304) 625-4164
10/95