Application for Pardon After Completion of Sentence

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1123-0016 can be found here:

Documents and Forms

Document Name Document Type
Pardon Application.1.22.24 (1123-0NEW).docx Other-Application
Pardon Application.1.22.24 (1123-0NEW).docx Other-Application

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Pardon After Completion of Sentence	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 28 CFR .35 28 CFR .36 28 CFR 1.1-1.11 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application			Pardon Application.1.22.24 (1123-0NEW).docx		Yes	Yes	Fillable Printable

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: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	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.