Information Collection

Address Verification / Change Request Identity History Summary Check

IC 226044 under ICR 202011-1110-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1-797 Address Verification / Change Request Identity History Summary Check Form and Instruction
1-797 Address Verification/Change Form 1-797 Address Verification Form.pdf www.fbi.gov/checks Form and Instruction
1-797 Address Verification/Change Form 1-797 Address Verification Form.pdf www.fbi.gov/checks Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Address Verification / Change Request Identity History Summary Check	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1-797	Address Verification/Change Form	1-797 Address Verification Form.pdf	www.fbi.gov/checks	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 780	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	780	60	720
Annual IC Time Burden (Hours)	26	2	24
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.