Information Collection Request
Application for certificates of Pardon for the Offense of Simple Possession of Marijuana - E.O.
ICR 202303-1123-005 · OMB 1123-0014 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1123-0014 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Application for Certificate of Pardon for Simple Possession of Marijuana |
Form and Instruction | Unchanged | Available |
 Marijuana Application Form2.24.23.docx |
Supplementary Document | Uploaded 2023-03-01 | Available |
 Marijuana Application Form2.20.23-508.pdf |
Supplementary Document | Uploaded 2023-03-01 | Available |
| PARDON DE MINIMIS CHANGE NOTIFICATION OMB.2.21.23.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-02-22 | Available |
| Instructions MJ Form.docx |
Supplementary Document | Uploaded 2023-02-22 | Available |
| Marijuana Application Form2.20.23.docx |
Supplementary Document | Uploaded 2023-02-22 | Available |
| PARDON EMERGENCY CLEARANCE REQUEST OMB.2.8.23.docx |
Supplementary Document | Uploaded 2023-02-08 | Available |
| Supporting Statement for Paperwork Reduction Act Submission--Pardon proclamation 2.2.23.docx |
Supporting Statement A | Uploaded 2023-02-08 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 258401 |  Application for Certificate of Pardon for Simple Possession of Marijuana |
Form and Instruction | Unchanged |
ICR Details
| Status | Historical Active |
|---|---|
| Agency/Subagency | DOJ/CD |
| OMB Control No | 1123-0014 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202302-1123-006 |
| Date Submitted to OIRA | 2023-03-01 |
| Requested Expiration Date | 1969-12-31 |