Information Collection

Police Records Check

IC 5243 under ICR 202110-0704-002 · OMB 0704-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 369 Police Records Check	Form
DD Form 369 Police Record Check dd369 draft 20211012.pdf	Form
DD Form 369 Police Record Check dd369 draft 20211012.pdf	Form

IC Title:

Police Records Check

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	DD Form 369	Police Record Check	dd369 draft 20211012.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	175,000	0	175,000
Annual IC Time Burden (Hours)	78,750	0	78,750
Annual IC Cost Burden (Dollars)	1,377,250	-1,118,250	2,495,500

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.