Information Collection

Certification of Identity

IC 11586 under ICR 201310-1103-001 · OMB 1103-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOJ-361 Certification of Identity	Form
DOJ-361 Certification of Identity DOJ 361 Form_011415.doc [email protected]	Form

IC Title:

Certification of Identity

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DOJ-361	Certification of Identity	DOJ 361 Form_011415.doc	[email protected]	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 69,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	69,000	7,000	62,000
Annual IC Time Burden (Hours)	34,500	3,500	31,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.