Renewal MOU

MEMORANDUM TO:

Melody Braswell
Department Clearance Officer
United States Department of Justice

FROM:

William G. McKinsey;
Section Chief

Biometric Services Section

Federal Bureau of Investigation

SUBJECT:

Revision of the current approved Rap Back Services Form (1-796)

Attached is the information collection request (ICR), Final Disposition Report (R-84) and
supplemental(s) for approval and submission to the Office of Management and Budget (OMB).
The requirements of this collection are proscribed by Title 28, United States Code, Section 534.
These forms are the means by which federal, state, and local law enforcement agencies report the
completion of an arrest event.

The following documents are contained in this ICR package:
1. Supporting Statement for Paperwork Reduction Act Submission with burden
statement

2. Law or authority mandating the information collection
3.

Certification Statement

4. OMB form 83-1 Paperwork Reduction Act Submission
5.

Form used to collect the information

6. 60-day ICR notice that will be published in the Federal Register
7. 30-day ICR notice that will be published in the Federal Register

If there are any questions concerning this ICR, please contact Gerry Lynn Brovey, Federal
Bureau of Investigation, Criminal Justice Information Services Division, Resources Management
Section, Module C-2, 1000 Custer Hollow Road, Clarksburg, West Virginia 26306; telephone
(304) 625-4320, facsimile (304) 625-5093, email .
Thank you