Information Collection

Appeals of Background Checks

IC 12867 under ICR 202507-1140-002 · OMB 1140-0081.

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Information Collection (IC) Details

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IC Title:	Appeals of Background Checks	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 27 CFR 555.33(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title: Appeals of Background Checks	FR Citation: 90 FR 19003

Number of Respondents: 132	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	132	-368	500
Annual IC Time Burden (Hours)	264	-736	1,000
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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