Information Collection

Request for the Return of Original Document(s)

IC 21017 under ICR 200612-1615-001 · OMB 1615-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-884 Request for the Return of Original Document(s)	Form and Instruction
G-884 Request for the Return of Original Documents G-884 10-03-06.pdf	Form and Instruction

IC Title:

Request for the Return of Original Document(s)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-884	Request for the Return of Original Documents	G-884 10-03-06.pdf		No		Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,875	1,875
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.