Information Collection

Police Records Check

IC 5243 under ICR 202505-0704-009 · OMB 0704-0007.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 369 Police Records Check	Form
Form DD Form 369 Police Record Check Police Records Check	Form
DD Form 369 Police Record Check dd0369 DRAFT 20250409 - OMB review.pdf	Form
DD Form 369 Police Record Check dd0369 DRAFT 20250409 - OMB review.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	DD Form 369				Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 199,521

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	199,521	24,521	175,000
Annual IC Time Burden (Hours)	89,784	11,034	78,750
Annual IC Cost Burden (Dollars)	1,570,330	193,080	1,377,250

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].