FBI Name Checks For Fingerprint Submissions Rejected Twice Due To Image Quality / 1-791

Forms and Documents

Document Name	Status
Form 1-791 CJIS Name Check Request Form and Instruction	New
1-791 Screenshot_LEO Name Check Form.pdf Supplementary Document	2014-12-19
1-791_Signature.pdf Supplementary Document	2014-05-12
1-791_Law.pdf Supplementary Document	2014-05-12
1-791_83I.pdf Supplementary Document	2014-05-12
1-791_UPDATED Supporting Statment.docx Supporting Statement A	2014-12-19

IC Document Collections

IC ID	Document Title	Status
211452	CJIS Name Check Request Form and Instruction	New

ICR Details

OMB Control No: 1110-0060	ICR Reference No: 201404-1110-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: FBI Name Checks For Fingerprint Submissions Rejected Twice Due To Image Quality / 1-791
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/07/2015
	Date Received in OIRA: 07/31/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved
Responses	129,723	0	0
Time Burden (Hours)	10,810	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: DOJ's FBI CJIS is requesting PRA approval of an existing collection in use without an OMB control number that is used to obtain mandatory information to conduct name check service requests.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 24007	04/29/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 42051	07/18/2014
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
CJIS Name Check Request	1-791	FBI Name Checks For Fingerprint Submissions Rejected Twice Due To Image Quality

---

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	129,723	0	0	129,723	0	0
Annual Time Burden (Hours)	10,810	0	0	10,810	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Until recent years the Name Check Request form (1-791) was used without OMB approval which accounts for the increase in the number of responses.

---

Annual Cost to Federal Government: $571,700

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

---

Common Form ICR:  No

---

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: 07/31/2014

---