Information Collection

Police Records Check

IC 5243 under ICR 201109-0704-009 · OMB 0704-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0007 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 369 Police Records Check Form
DD Form 369 Police Record Check DD 369 draft.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Police Records Check	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form 369	Police Record Check	DD 369 draft.pdf		Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 175,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	175,000	175,000
Annual IC Time Burden (Hours)	78,750	78,750
Annual IC Cost Burden (Dollars)	1,477,000	1,477,000

Documents for IC

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.