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Voluntary Appeal File Brochure
Voluntary Appeal File (VAF) Application Form
OMB: 1110-0043
IC ID: 11851
OMB.report
DOJ/FBI
OMB 1110-0043
ICR 202207-1110-001
IC 11851
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0043 can be found here:
2024-03-21 - No material or nonsubstantive change to a currently approved collection
2023-10-05 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form UnNumbered
Voluntary Appeal File Brochure
Form and Instruction
UnNumbered Voluntary Appeal File (VAF) Application
1-783 VAF Application.pdf
Form and Instruction
UnNumbered Voluntary Appeal File (VAF) Application
1-783 VAF Application.pdf
Form and Instruction
Privacy Act Statement Screenshot.png
Privacy Act Statement Screenshot for Online VAF Application
IC Document
Privacy Act Statement Screenshot.png
Privacy Act Statement Screenshot for Online VAF Application
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Voluntary Appeal File Brochure
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
UnNumbered
Voluntary Appeal File (VAF) Application
1-783 VAF Application.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Citizen Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,737
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,737
0
-263
0
0
4,000
Annual IC Time Burden (Hours)
1,869
0
-131
0
0
2,000
Annual IC Cost Burden (Dollars)
0
0
-73,600
0
0
73,600
Documents for IC
Title
Document
Date Uploaded
Privacy Act Statement Screenshot for Online VAF Application
Privacy Act Statement Screenshot.png
07/11/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.