Credit Card Payment Form

Credit Card Payment Form (1-786)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0070 can be found here:

Documents and Forms

Document Name Document Type
Form 1-786 Credit Card Payment Form Form
1-786 Credit Card Payment Form 1-786.doc Form
1-786 Credit Card Payment Form 1-786 Credit Card Form (Revised August 2020).docx Form and Instruction
Memo for 1-786 CC Form-2.docx Memo for Non-Substantive Change IC Document

Information Collection (IC) Details

IC Title:	Credit Card Payment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1-786	Credit Card Payment Form	1-786.doc		No		Fillable Fileable
Form and Instruction	1-786	Credit Card Payment Form	1-786 Credit Card Form (Revised August 2020).docx		No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	80,000	80,000
Annual IC Time Burden (Hours)	2,667	2,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo for Non-Substantive Change	Memo for 1-786 CC Form-2.docx	08/20/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.