Information Collection

Specific Release Form

IC 188937 under ICR 201206-2120-003 · OMB 2120-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1600-81 Specific Release Form	Form
1600-81 Specific Release Form 1600-81 Specific Release REVISED 7.17.2012.doc	Form

IC Title:

Specific Release Form

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	1600-81	Specific Release Form	1600-81 Specific Release REVISED 7.17.2012.doc		No		Printable Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 270

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	23	23
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.