Information Collection

Application for certificates of Pardon for the Offense of Simple Possession of Marijuana

IC 261027 under ICR 202307-1123-001 · OMB 1123-0014.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for Certificate of Pardon for Simple Marijuana Possession.docx www.justice.gov/pardon	Other-Application
Application for Certificate of Pardon for Simple Marijuana Possession.docx www.justice.gov/pardon	Other-Application

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Application			Application for Certificate of Pardon for Simple Marijuana Possession.docx	https://www.justice.gov/pardon	Yes	Yes	Fillable Fileable

Line of Business: Correctional Activities

Subfunction: Criminal Rehabilitation

Privacy Act System of Records

Title: Executive Clemency Case Files/Executive Clemency Tracking System

FR Citation: 82 FR 24151

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	40,000	40,000
Annual IC Cost Burden (Dollars)	0	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.