Application for certificates of Pardon for the Offense of Simple Possession of Marijuana - E.O.

Forms and Documents

Document Name	Status
Application for Pardon Certificate Form	New
Supporting Statement for Paperwork Reduction Act Submissions.docx Supporting Statement A	2022-10-14

IC Document Collections

IC ID	Document Title	Status
256367	Application for Pardon Certificate Form	New

ICR Details

OMB Control No:	ICR Reference No: 202210-1123-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOJ/CD	Agency Tracking No:
Title: Application for certificates of Pardon for the Offense of Simple Possession of Marijuana - E.O.
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/14/2022
Date Submitted to OIRA: 10/14/2022

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	20,000	0
Time Burden (Hours)	40,000	0
Cost Burden (Dollars)	0	0

---

Abstract: The purpose of this collection is to gather information necessary to enable the Office of the Pardon Attorney, U.S. Department of Justice to expeditiously administer the provisions of the Executive Order 10467, a proclamation granting pardons to individuals charged or convicted of simple possession of marijuana. The collection will enable individuals to apply for certificates of pardon, restoring political, civil, and other rights by implementing a process to provide certificates of pardon as provided by the order.

Emergency Justfication: This emergency processing is essential because the President issued a proclamation of pardon on October 6, 2022, A Proclamation on Granting Pardon for the Offense of Simple Possession of Marijuana | The White House (Proclamation) and has specifically directed the Office of the Pardon Attorney to develop procedures to comply with the proclamation “as soon as reasonably practicable.” Further, the Department has issued a statement promising that “[t]he Justice Department will expeditiously administer the President’s proclamation, which pardons individuals who engaged in simple possession of marijuana, restoring political, civil, and other rights to those convicted of that offense. In the coming days, the Office of the Pardon Attorney will begin implementing a process to provide impacted individuals with certificates of pardon.” The normal clearance procedures would fail to satisfy this specific presidential directive and would breach the public promise of the Department that processing on these applications will begin in days.

---

Authorizing Statute(s): EO: EO 10467 Name/Subject of EO: Granting Pardon for the Offense of Simple Possession of Marijuana
  

Citations for New Statutory Requirements: EO: EO 10467 Name/Subject of EO: Granting Pardon for the Offense of Simple Possession of Marijuana

---

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

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Application for Pardon Certificate	NA	APPLICATION FOR CERTIFICATE OF PARDON FOR SIMPLE POSSESSION OF MARIJUANA

---

ICR Summary of Burden

	Total Request	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	20,000	0	20,000	0	0	0
Annual Time Burden (Hours)	40,000	0	40,000	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:

---

Annual Cost to Federal Government:

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.     Yes

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.     Yes

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

---

Common Form ICR:  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:

(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: 10/14/2022

---