FBI Expungement Form (FD-1114)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FD-1114 FBI Expungement Form	Form	Modified	Available
FD-1114 OMB 83-I Revised.pdf	Supplementary Document	Uploaded 2018-08-06	Available
FD-1114 Paperwork Certification.docx	Supplementary Document	Uploaded 2018-08-06	Available
FD-1114_Title 28 CFR Section 0.85 Law.pdf	Supplementary Document	Uploaded 2015-02-25	Available
FD-1114_Supporting Statement.docx	Supporting Statement A	Uploaded 2018-08-06	Available
FD-1114_Title 28 CFR Section 20.33 Law.pdf	Supplementary Document	Uploaded 2015-02-25	Available
FD-1114_Title 28 CFR Section 50.12 Law.pdf	Supplementary Document	Uploaded 2015-02-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215265	FBI Expungement Form	Form	Modified

ICR Details

OMB Control No: 1110-0064	ICR Reference No: 201710-1110-003
Status: Active	Previous ICR Reference No: 201502-1110-005
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: FBI Expungement Form (FD-1114)
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: 12/10/2018
	Date Received in OIRA: 08/17/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	12/31/2018
Responses	216,636	0	537,123
Time Burden (Hours)	36,106	0	89,540
Cost Burden (Dollars)	0	0	0

---

Abstract: DOJ's CJIS is requesting a PRA approval for a collection already in use by agencies to request removal of criminal history data from an individual's Identity History.

---

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:
	83 FR 22519	05/15/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 32689	07/13/2018
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
FBI Expungement Form	FD-1114	FBI Expungement Form

---

ICR Summary of Burden

table that charts list 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	216,636	537,123	0	-320,487	0	0
Annual Time Burden (Hours)	36,106	89,540	0	-53,434	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Previously we reported a much larger number based as we utilized the existing ORIs to calculate total respondents. We now feel this number is not the best to continue utilizing since it is not representative of the agencies who actually submit the requests.

---

Annual Cost to Federal Government: $515,097

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/17/2018

---