Information Collection Request

Police Records Check

ICR 202505-0704-009 · OMB 0704-0007 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 369 Police Record Check Form Modified Available
Form DD Form 369 Police Records Check Form Modified Repair queued
0704-0007_SSA_5.29.2025.docx Supporting Statement A Uploaded 2025-05-29 Repair queued
0704-0007_SSA_5.29.2025.docx Supporting Statement A Uploaded 2025-05-29 Available
0704-0007_PIA_MIRS_Sec1.pdf Supplementary Document Uploaded 2025-05-20 Available
0704-0007_PIA_MIRS_Sec1.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
0704-0007_DD369_SSN Justification_indefinite.pdf Supplementary Document Uploaded 2025-05-20 Available
0704-0007_DD369_SSN Justification_indefinite.pdf Supplementary Document Uploaded 2025-05-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5243 Police Records Check Form ModifiedPolice Record Check
5243 Police Records Check Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2028 36 Months From Approved 07/31/2025
199,521 0 175,000
89,784 0 78,750
1,570,330 0 1,377,250





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Police Records Check DD Form 369

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 199,521 175,000 0 24,521 0 0
Annual Time Burden (Hours) 89,784 78,750 0 11,034 0 0
Annual Cost Burden (Dollars) 1,570,330 1,377,250 0 193,080 0 0


Reginfo record details
  No