Information Collection

Sponsor's Agreement to Conditions of Release

IC 185520 under ICR 201106-0970-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 ORR-420/420s Sponsor's Agreement to Conditions of Release Form and Instruction
ORR-420/420s Sponsor's Agreement Sponsor's Agreement to Conditions of Release (English) Exp 07 31 2011.doc Form and Instruction
ORR-420/420s Sponsor's Agreement Sponsor's Agreement to Conditions of Release (Spanish) Exp 07 31 2011.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Sponsor's Agreement to Conditions of Release	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	ORR-420/420s	Sponsor's Agreement	Sponsor's Agreement to Conditions of Release (English) Exp 07 31 2011.doc		No	No	Paper Only
Form and Instruction	ORR-420/420s	Sponsor's Agreement	Sponsor's Agreement to Conditions of Release (Spanish) Exp 07 31 2011.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: 4,595	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,595	-3,981	8,576
Annual IC Time Burden (Hours)	1,149	433	716
Annual IC Cost Burden (Dollars)	68,925	68,925	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.