Address Verification / Change Request Identity History Summary Check

OMB 1110-0072

DOJ's CJIS is requesting a PRA approval for a new collection utilized by authorized agencies to enroll individuals in the Rap Back Service to ensure the submitting agency is notified when individuals in positions of trust engage in criminal conduct or individuals under the supervision of a criminal justice agency commit subsequent criminal acts.

The latest form for Address Verification / Change Request Identity History Summary Check expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1-797 Address Verification / Change Request Identity History Summary Check Form and Instruction
Legal Authority DO 556-73.pdf Supplementary Document
1-797 ICR Signatures.pdf Supplementary Document
1-797 .pdf Supplementary Document
1-797 Supporting Statement 2024.docx Supporting Statement A
Address Verification / Change Request Identity History Summary Check Form and Instruction

All Historical Document Collections

202403-1110-001 Approved without change	Revision of a currently approved collection	2024-03-21
202011-1110-005 Approved without change	Extension without change of a currently approved collection	2021-01-25
201703-1110-001 Approved without change	Existing collection in use without an OMB Control Number	2017-10-27