Information Collection

Credit Card Payment Form

IC 222847 under ICR 202002-1110-001 · OMB 1110-0070.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0070 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-786 Credit Card Payment Form	Form
1-786 Credit Card Payment Form 1-786.doc	Form

IC Title:

Credit Card Payment Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1-786	Credit Card Payment Form	1-786.doc		No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80,000

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	Previously Approved
Annual Number of Responses for this IC	80,000	80,000
Annual IC Time Burden (Hours)	2,667	2,667
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.