Information Collection Request

Credit Card Payment Form (1-786)

ICR 202609-1110-002 · OMB 1110-0070 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1-786 Credit Card Payment Form Form and Instruction Modified Available
Memorandum 1110-0070 Credit Card Payment Form 2026.docx Supplementary Document Uploaded 2026-09-30 Available
Credit Card Payment Form-ICR-PA.pdf Supplementary Document Uploaded 2026-09-30 Available
83-I and Paperwork Certification-SIGNED.pdf Supplementary Document Uploaded 2026-09-30 Available
1110-0070 Supporting Statement A.docx Supporting Statement A Uploaded 2026-09-30 Available
Paperwork Certificate 0070 2023.docx Supplementary Document Uploaded 2023-07-18 Available
28 CFR Part 16 Sub C.pdf Supplementary Document Uploaded 2023-07-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
222847 Credit Card Payment Form Form and Instruction ModifiedCredit Card Payment Form

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2026
36,385 28,039
1,213 935
33,623 504,702





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Credit Card Payment Form 1-786

table that charts list of burden
  Total Request 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 36,385 28,039 0 8,346 0 0
Annual Time Burden (Hours) 1,213 935 0 278 0 0
Annual Cost Burden (Dollars) 33,623 504,702 0 -471,079 0 0


Reginfo record details
  No