Information Collection

Applicant Information Form

IC 198010 under ICR 202304-1110-005 · OMB 1110-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0052 can be found here:

Documents and Forms

Document Name Document Type
Form 1-783 Applicant Information Form Form and Instruction
1-783 Identity Summary History Request Form 1-783 ID History Request Form 23-20230503.pdf Form and Instruction
1-783 Identity Summary History Request Form 1-783 ID History Request Form 23-20230503.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Applicant Information Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 28 CFR 16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1-783	Identity Summary History Request Form	1-783 ID History Request Form 23-20230503.pdf		No		Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Criminal Investigation and Surveillance

Privacy Act System of Records
Title: The FBI Central Records System	FR Citation: 63 FR 8659

Number of Respondents: 86,707	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	86,707	-188,293	275,000
Annual IC Time Burden (Hours)	7,226	-6,524	13,750
Annual IC Cost Burden (Dollars)	1,560,726	1,560,726	0

Documents for IC

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.