Information Collection

Sponsor's Agreement to Conditions of Release

IC 185520 under ICR 200806-0970-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form ORR - R420 Sponsor's Agreement to Conditions of Release	Form
ORR - R420 Sponsor's Agreement to Conditions of Release - English Sponsor's Agreement to Conditions of Release (English).doc	Form
ORR-R-420s Sponsor's Agreement to Conditions of Release/Spanish Sponsor's Agreement to Conditions of Release (Spanish).doc	Form

IC Title:

Sponsor's Agreement to Conditions of Release

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	ORR - R420	Sponsor's Agreement to Conditions of Release - English	Sponsor's Agreement to Conditions of Release (English).doc		Yes	Yes	Paper Only
Form	ORR-R-420s	Sponsor's Agreement to Conditions of Release/Spanish	Sponsor's Agreement to Conditions of Release (Spanish).doc		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,288

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	8,576	8,576
Annual IC Time Burden (Hours)	716	716
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.