Information Collection

FBI Expungement Form

IC 215265 under ICR 202108-1110-002 · OMB 1110-0064.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FD-1114 FBI Expungement Form	Form and Instruction
FD-1114 FBI Expungement Form FD-1114 Expungement (1).docx	Form and Instruction
FD-1114 FBI Expungement Form FD-1114 Expungement (1).docx	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 20.33 28 CFR 0.85 28 CFR 50.12

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	FD-1114	FBI Expungement Form	FD-1114 Expungement (1).docx		No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 105

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	318,598	101,962	216,636
Annual IC Time Burden (Hours)	18,585	-17,521	36,106
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.