Proposed Changes

Changes_1-783.docx

Applicant Information Form

Proposed Changes

OMB: 1110-0052

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Changes on the 1-783 Applicant Information Form OMB 1110-0052



The revision date has been changed from 5-5-2011 to 6-8-2-12.

Reason for Request has also been changed to include specific boxes and an “Other” option.

Personal review Challenge information on your record Adoption of a child in the U.S.

International adoption Live, work, or travel in a foreign country Other____________________

“Mail the signed applicant information form, fingerprint card, and payment of $18 US dollars for each person or copy requested – to the following address:

FBI CJIS Division – Record Request

1000 Custer Hollow Road

Clarksburg, West Virginia 26306” has been added.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorjzmills
File Modified0000-00-00
File Created2021-01-30

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