Information Collection

Authorization for Release of Information

IC 217211 under ICR 201809-0970-002 · OMB 0970-0278.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0278 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Authorization for Release of Information Form and Instruction
1 FRP-2 FRP-2 Authorization for Release of Information MOA (5-09-2018).docx Form and Instruction
FRP-2s Authorization for Release of Information FRP-2s Authorization for Release of Information (05-14-18).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Authorization for Release of Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	FRP-2	FRP-2 Authorization for Release of Information MOA (5-09-2018).docx		No		Paper Only
Form and Instruction	FRP-2s	Authorization for Release of Information	FRP-2s Authorization for Release of Information (05-14-18).pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90,000	0	90,000
Annual IC Time Burden (Hours)	67,500	22,500	45,000
Annual IC Cost Burden (Dollars)	0	0	0

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.