Final Disposition Report

Forms and Documents

Document Name	Status
Form R-84 Final Disposition Report (R-84) Form and Instruction	New
R-84supporting statment.docx Supporting Statement A	2011-07-07
28CFR20 1.pdf Supplementary Document	2011-02-02
28usc534.wpd Supplementary Document	2011-02-02
signature.pdf Supplementary Document	2011-02-02

IC Document Collections

IC ID	Document Title	Status
196058	Final Disposition Report (R-84) Form and Instruction	New

ICR Details

OMB Control No: 1110-0051	ICR Reference No: 201101-1110-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Final Disposition Report
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/22/2011
	Date Received in OIRA: 07/12/2011
Terms of Clearance: OMB notes the agency has been using this collection without a valid OMB control number, which is a violation of the PRA.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved
Responses	650,047	0	0
Time Burden (Hours)	54,167	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Under 28 USCS § 534, the Department of Justice (DOJ), Federal Bureau of Investigation (FBI), Criminal Justice Information Services(CJIS)Division, would require form, Final Disposition Report (R-84), from criminal justice agencies in order to assure criminal history record information is collected, stored, and disseminated in a manner to ensure accuracy, completeness, currency, integrity, and security of such information in an effort to protect individual privacy and provide maximum service to all law enforcement and governmental agencies.

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Authorizing Statute(s): US Code: 28 USC 534 Name of Law: Acquisition, preservation, and exchange of identification records and information; appointment of
  

Citations for New Statutory Requirements: US Code: 28 USC 534 Name of Law: Acquisition, preservation, and exchange of identification records and information; appointment of

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6827	02/08/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 20043	04/11/2011
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Final Disposition Report (R-84)	R-84	Final Disposition Report

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ICR Summary of Burden

	Total Approved	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	650,047	0	650,047	0	0	0
Annual Time Burden (Hours)	54,167	0	54,167	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: New collection

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Annual Cost to Federal Government: $1,676,658

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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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: 07/12/2011

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