Information Collection

Rap Back Services Form 1-796

IC 215135 under ICR 201502-1110-004 · OMB 1110-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0067 can be found here:

Documents and Forms

Document Name Document Type
Form 1-796 Rap Back Services Form 1-796 Form and Instruction
1-796 Rap Back Services Form 1-796 Non-Fillable.pdf Form and Instruction
1-796 (Fillable) Rap Back Services Form 1-796 Fillable.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rap Back Services Form 1-796	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 50.12(a) 28 CFR 0.85(j) 28 CFR 20.33(a)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1-796	Rap Back Services Form	1-796 Non-Fillable.pdf		No		Printable Only
Form and Instruction	1-796 (Fillable)	Rap Back Services Form	1-796 Fillable.pdf		No		Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.