Information Collection

Applicant Information Form

IC 198010 under ICR 201404-1110-005 · OMB 1110-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0052 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-783 Applicant Information Form	Form
1-783 Applicant Information 1110-0052_Form.pdf	Form

IC Title:

Applicant Information Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	1-783	Applicant Information	1110-0052_Form.pdf		No		Paper Only

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 309,345

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	309,345	84,345	225,000
Annual IC Time Burden (Hours)	25,779	14,529	11,250
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.