Credit Card Payment Form

Credit Card Payment Form (1-786)

Documents and Forms

Document Name Document Type
Form 1-786 Credit Card Payment Form Form and Instruction
1-786 Credit Card Payment Form 1-786 CC Form.docx Form and Instruction
1-786 Credit Card Payment Form 1-786 CC Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Credit Card Payment Form	Agency IC Tracking Number:	1-786

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 28 CFR 16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1-786	Credit Card Payment Form	1-786 CC Form.docx		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title: The FBI Central Records System	FR Citation: 82 FR 24147

Number of Respondents: 28,039	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	28,039	-51,961	80,000
Annual IC Time Burden (Hours)	935	-1,732	2,667
Annual IC Cost Burden (Dollars)	504,702	504,702	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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