Information Collection

FBI Expungement Form

IC 215265 under ICR 201710-1110-003 · OMB 1110-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0064 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FD-1114 FBI Expungement Form	Form
FD-1114 FBI Expungement Form FD-1114 01082018.pdf	Form

IC Title:

FBI Expungement Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 28 CFR 50.12 28 CFR 20.33 28 CFR 0.85

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	FD-1114	FBI Expungement Form	FD-1114 01082018.pdf		No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	216,636	-320,487	537,123
Annual IC Time Burden (Hours)	36,106	-53,434	89,540
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.