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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1-783 Applicant Information Form	Form and Instruction
Form 1-783 Identity Summary History Request Form 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1-783				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 %

table that charts list of burden
	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

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.

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