Flash/Cancellation/Notice

Forms and Documents

Document Name	Status
Form I-12 Flash/Cancellatioin Notice Form and Instruction	Modified
Supporting Statement A.docx Supporting Statement A	2019-04-29
Certification.pdf Supplementary Document	2019-04-23
83i.pdf Supplementary Document	2019-04-23
I-12_Law.pdf Supplementary Document	2015-09-28

IC Document Collections

IC ID	Document Title	Status
218319	Flash/Cancellatioin Notice Form and Instruction	Modified

ICR Details

OMB Control No: 1110-0069	ICR Reference No: 201902-1110-003
Status: Active	Previous ICR Reference No: 201509-1110-001
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Flash/Cancellation/Notice
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/02/2019
	Date Received in OIRA: 04/29/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	194,287	0	192,998
Time Burden (Hours)	25,905	0	25,733
Cost Burden (Dollars)	0	0	0

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Abstract: DoJ's CJIS is requesting a PRA approval for an existing collection in use without an OMB control number utilized by authorized agencies to indicate on an individuals identity history that the ndividual is being supervised to ensure the supervisory agency is notified of any additional criminal activity. The form is also utilised by authorized agencies to submit information to advise the FBI that an individual is being transferred to a new locale.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 7130	03/01/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 19118	05/03/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Flash/Cancellatioin Notice	I-12	Flash/Cancellation Notice

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ICR Summary of Burden

	Total Approved	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	194,287	192,998	0	1,289	0	0
Annual Time Burden (Hours)	25,905	25,733	0	172	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in receipts increased by 172 flashes, this number fluctuates based on the number of subjects put on supervision/probation.

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Annual Cost to Federal Government: $780,780

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/29/2019

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