Information Collection

Address Verification / Change Request Identity History Summary Check

IC 226044 under ICR 201703-1110-001 · OMB 1110-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-797 Address Verification / Change Request Identity History Summary Check	Form
1-797 Address Verification / Change Request Identity History S 1-797 (2).pdf www.fbi.gov/checks	Form

IC Title:

Address Verification / Change Request Identity History Summary Check

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	1-797	Address Verification / Change Request Identity History Summary Check	1-797 (2).pdf	www.fbi.gov/checks	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 720

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	720	720
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	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.