Information Collection

Applicant Information Form

IC 198010 under ICR 202504-1110-002 · OMB 1110-0052.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1-783 Applicant Information Form	Form
Form 1-783 Identity History Summary Request Form Applicant Information Form	Form
1-783 Identity History Summary Request Form 1-783 ID History Request Form 23-20250319.pdf	Form
1-783 Identity History Summary Request Form 1-783 ID History Request Form 23-20250319.pdf	Form

IC Title:

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	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	Previously Approved
Annual Number of Responses for this IC	86,707	86,707
Annual IC Time Burden (Hours)	7,226	7,226
Annual IC Cost Burden (Dollars)	1,560,726	1,560,726

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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