Information Collection

Rap Back Services Form 1-796

IC 215135 under ICR 201710-1110-006 · OMB 1110-0067.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-796 Rap Back Services Form 1-796	Form and Instruction
1-796 Rap Back Services Form Rap Back 1-796 Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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:

table that charts list of 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	Rap Back 1-796 Form.pdf		No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

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	12	-5,988	6,000
Annual IC Time Burden (Hours)	1	-299	300
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.