Credit Card Payment Form (1-786)

Forms and Documents

Document Name	Status
Form 1-786 Credit Card Payment Form Form	Modified
Memo for 1-786 CC Form-2.docx Justification for No Material/Nonsubstantive Change	2020-08-24
1-786_Signed Paperwork certification.pdf Supplementary Document	2016-08-12
1-786_83I.pdf Supplementary Document	2016-08-12
1-786_Supporting Statement.docx Supporting Statement A	2016-08-12

IC Document Collections

IC ID	Document Title	Status
222847	Credit Card Payment Form Form	Modified

ICR Details

OMB Control No: 1110-0070	ICR Reference No: 202008-1110-001
Status: Active	Previous ICR Reference No: 202002-1110-001
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Credit Card Payment Form (1-786)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/16/2020
	Date Received in OIRA: 08/27/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	07/31/2023	07/31/2023
Responses	80,000	0	80,000
Time Burden (Hours)	2,667	0	2,667
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 2441	01/15/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 16969	03/25/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

	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

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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $173,797

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.     No

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.     No

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

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/27/2020

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