Records Modification Form (FD-1115)

OMB 1110-0068

"DOJ's CJIS is requesting PRA approval for a collection, which is utilized by federal, state, and local agencies to Provide a consistent method for the agencies to submit requests to the CJIS to edit their records within the Next Generation Identification (NGI), when the edits cannot be performed by the agency itself.

The latest form for Records Modification Form (FD-1115) expires 2022-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FD-1115 Records Modification Form (FD-1115) Form and Instruction
Signed Paperwork Reduction Act.pdf Supplementary Document
1110-0068 Signed 83I.pdf Supplementary Document
FD-1115_Title 28 CFR Section 0.85 Law.pdf Supplementary Document
FD-1115_Title 28 CFR Section 20.33 Law.pdf Supplementary Document
FD-1115_Title 28 CFR Section 50.12 Law.pdf Supplementary Document
FD-1115_Paperwork Certification.docx Supplementary Document
FD-1115_83I.pdf Supplementary Document
1110-0068 FD-1115 Supporting Statement.docx Supporting Statement A
Records Modification Form (FD-1115) Form and Instruction

All Historical Document Collections

202111-1110-001 Approved without change	Revision of a currently approved collection	2022-01-11
201710-1110-007 Approved without change	Revision of a currently approved collection	2018-11-29
201502-1110-006 Approved with change	New collection (Request for a new OMB Control Number)	2015-08-12