Applicant Information Form 1-783

Forms and Documents

Document	Type	Status	Availability
Form 1-783 Applicant Information Form	Form and Instruction	Modified	Repair queued
1110-0052-28 CFR Part 16 Subpart C.pdf	Supplementary Document	Uploaded 2023-09-14	Repair queued
0052 Privacy Assessment.pdf	Supplementary Document	Uploaded 2023-09-14	Repair queued
0052 memorandum Scan.pdf	Supplementary Document	Uploaded 2023-09-14	Repair queued
Paperwork Certificate 0052 2023.docx	Supplementary Document	Uploaded 2023-08-22	Repair queued
1110-0052_83-I (2020).pdf	Supplementary Document	Uploaded 2020-08-20	Repair queued
1110-0052 Supporting Statement A-1-783_2023.docx	Supporting Statement A	Uploaded 2023-08-22	Repair queued
1110-0052_Paperwork Certification.pdf	Supplementary Document	Uploaded 2016-08-15	Repair queued
1110-0052_Law.pdf	Supplementary Document	Uploaded 2014-05-01	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
198010	Applicant Information Form	Form and Instruction	Modified

ICR Details

OMB Control No: 1110-0052	ICR Reference No: 202304-1110-005
Status: Received in OIRA	Previous ICR Reference No: 202008-1110-002
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Applicant Information Form 1-783
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/25/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2023
Responses	86,707	275,000
Time Burden (Hours)	7,226	13,750
Cost Burden (Dollars)	1,560,726	0

---

Abstract: DOJ's FBI CJIS is requesting PRA extension of a currently approved collection that is utilized to obtain mandatory information necessary to process an individual's request for his/her identity history information.

---

Authorizing Statute(s): US Code: 28 USC 534 Name of Law: Acquisition, preservation, and exchange of identification records and information; appointment 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 20187	04/05/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 61614	09/07/2023
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
Applicant Information Form	1-783	Identity Summary History Request 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	86,707	275,000	0	-188,293	0	0
Annual Time Burden (Hours)	7,226	13,750	0	-6,524	0	0
Annual Cost Burden (Dollars)	1,560,726	0	0	1,560,726	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 Estimate of Hour Burden statistics have dropped as more applicants opt for the electronic application process. The Estimated Annualized Costs to Federal Government has a drastic increase to reflect a truer depiction of the current personnel situation. There are currently 19 full-time staffers permanently assigned to the processing of 1-783 applications. The previous collection included employees that did not devote a full-time focus on this process. With the current staffing focused solely on 1-783 processing, all aspects of the process are figured into the staffing costs of the 19 employees.

---

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: 09/25/2023

---