Information Collection

Basic Criminal History and Statement of Admission

IC 210117 under ICR 202409-0704-006 · OMB 0704-0516.

Documents and Forms

Document Name Document Type
Form DD Form 2981 Basic Criminal History and Statement of Admission Form and Instruction
DD Form 2981 Basic Criminal History and Statement of Admission DD2981 DRAFT 20210920.pdf Form and Instruction
DD Form 2981 Basic Criminal History and Statement of Admission DD2981 DRAFT 20210920.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Basic Criminal History and Statement of Admission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 2981	Basic Criminal History and Statement of Admission	DD2981 DRAFT 20210920.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,000	0	8,000
Annual IC Time Burden (Hours)	2,000	0	2,000
Annual IC Cost Burden (Dollars)	68,680	16,680	52,000

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.