Credit Card Payment Form (1-786)

ICR 202008-1110-001

OMB: 1110-0070

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2020-08-24
Supplementary Document
2016-08-12
Supplementary Document
2016-08-12
Supporting Statement A
2016-08-12
IC Document Collections
IC ID
Document
Title
Status
222847 Modified
ICR Details
1110-0070 202008-1110-001
Active 202002-1110-001
DOJ/FBI
Credit Card Payment Form (1-786)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/16/2020
Retrieve Notice of Action (NOA) 08/27/2020
  Inventory as of this Action Requested Previously Approved
07/31/2023 07/31/2023 07/31/2023
80,000 0 80,000
2,667 0 2,667
0 0 0

DOJ's CJIS is requesting a PRA approval for an existing collection in use without an OMB control number. The 1-786 is utilized to provide individuals requesting a copy of their Criminal History/rap Sheet with an alternative option of payment (credit card) for the $18 fee associated with requesting their record.

None
None

Not associated with rulemaking

  85 FR 2441 01/15/2020
85 FR 16969 03/25/2020
No

1
IC Title Form No. Form Name
Credit Card Payment Form 1-786, 1-786 Credit Card Payment Form ,   Credit Card Payment Form

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 80,000 80,000 0 0 0 0
Annual Time Burden (Hours) 2,667 2,667 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$173,797
No
    No
    No
No
No
No
No
Anna Mayers 304 625-5362

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/27/2020


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