Credit Card Payment Form (1-786)

Forms and Documents

Document Name	Status
Form 1-786 Credit Card Payment Form Form and Instruction	Modified
Paperwork Certificate 0070 2023.docx Supplementary Document	2023-07-18
28 CFR Part 16 Sub C.pdf Supplementary Document	2023-07-18
0070 memorandum Scan.pdf Supplementary Document	2023-07-18
0070 Privacy Assessment.pdf Supplementary Document	2023-07-18
1110-0070 83-i_2023.pdf Supplementary Document	2023-07-18
1110-0070 Supporting Statement A-1-786_2023.docx Supporting Statement A	2023-07-18

IC Document Collections

IC ID	Document Title	Status
222847	Credit Card Payment Form Form and Instruction	Modified

ICR Details

OMB Control No: 1110-0070	ICR Reference No: 202304-1110-004
Status: Received in OIRA	Previous ICR Reference No: 202008-1110-001
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Credit Card Payment Form (1-786)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/21/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2023
Responses	28,039	80,000
Time Burden (Hours)	935	2,667
Cost Burden (Dollars)	504,702	0

---

Abstract: DOJ's CJIS is requesting PRA approval for a revision of a currently approved collection to provide individuals requesting a copy of their Criminal History/Rap Sheet with an alternative option of payment (credit card) for the $18 fee associated with the record request.

---

Authorizing Statute(s): US Code: 28 USC 534 Name of Law: Acquisition, preservation, and exchange of identification records and information; appointment of of
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 20188	04/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 45927	07/18/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Credit Card Payment Form	1-786	Credit Card Payment Form

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	28,039	80,000	0	-51,961	0	0
Annual Time Burden (Hours)	935	2,667	0	-1,732	0	0
Annual Cost Burden (Dollars)	504,702	0	0	504,702	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The 1-786 accounts for approximately ten percent of all payments for applications to obtain an individual’s copy of record. The other 90% of payments are rendered via online credit card payment or mailed certified check or money order.

---

Annual Cost to Federal Government: $1,458,803

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/21/2023

---