Federal Bureau of Investigation Interstate Identification Index (III), Next Generation Identification (NGI), Request to Change III/NGI Base Identifier(s) (1-542)

Forms and Documents

Document Name	Status
Form 1-542 Request to Change III/NGI Base Identifier(s) Form and Instruction	Modified
1110-0061_Paperwork Certification.pdf Supplementary Document	2015-06-08
1110-0061_ 83i_Signature.pdf Supplementary Document	2015-06-08
1110-0061_83-I.pdf Supplementary Document	2015-06-08
1-542_Law.pdf Supplementary Document	2014-04-29
1110-0061_Supporting Statement_081915.doc Supporting Statement A	2015-08-19

IC Document Collections

IC ID	Document Title	Status
211449	Request to Change III/NGI Base Identifier(s) Form and Instruction	Modified

ICR Details

OMB Control No: 1110-0061	ICR Reference No: 201505-1110-003
Status: Historical Active	Previous ICR Reference No: 201404-1110-002
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Federal Bureau of Investigation Interstate Identification Index (III), Next Generation Identification (NGI), Request to Change III/NGI Base Identifier(s) (1-542)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/19/2015
	Date Received in OIRA: 08/19/2015
Terms of Clearance: Previous terms of clearance remain in effect. Approved for 6 months while the agency explores and develops a plan for making the collection fully electronic. Upon submission, the agency should include a plan for making the collection fully electronic.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2016	36 Months From Approved	10/31/2015
Responses	114,000	0	7,500
Time Burden (Hours)	28,500	0	1,875
Cost Burden (Dollars)	0	0	0

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Abstract: DOJ's FBI CJIS is requesting PRA extension of a currently approved collection. The 1-542 is utilized to provide authorized agencies a consistent format to submit identity history information.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 33290	06/11/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 49268	08/17/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Request to Change III/NGI Base Identifier(s)	1-542	Interstate Identification Index (III), Next Generation Identification (NGI), Request to Change III/NGI Base Identifier(s)

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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	114,000	7,500	0	106,500	0	0
Annual Time Burden (Hours)	28,500	1,875	0	26,625	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: The total number of annual responses has increased as we have identified and captured all responses regardless if the 1-542 form was utilized by the agency to submit the necessary identity history information. Furthermore, previously the cost for analysis and conversion to electronic format was not assessed and reported. By incorporating these calculations, we have identified an increase in the total cost associated with processing the 1-542 form.

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Annual Cost to Federal Government: $443,976

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

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Common Form ICR:  No

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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: 08/19/2015

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