Information Collection

Update Leave

IC 227087 under ICR 201706-0607-001 · OMB 0607-0999.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0999 can be found here:

Documents and Forms

Document Name Document Type
dh_16_l2_ul_es_20170515.pdf Other-Cover Letter
dh_6a_in_ul_es_20170522.pdf Other-Envelope
dh_17_cqa_20170516.pdf Other-Information Insert
dh_17i_es_20170602_2.pdf Other-Information Insert-FAQs
DH_17I_ES_P1_06062017.pdf Other-Information Insert- FAQs
dh_16_l2_ul_20170615 .pdf Other-Cover Letter
dh_31_ul_es_20170614.pdf Other-Confidentiality Notice
DH-1(UL) English Paper Questionnaire DH-1UL_061517 .pdf Form
DH-1(ES)UL English/Spanish Paper Questionnaire DH-1(ES)UL_052417.pdf survey.census.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Update Leave	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Information Insert-FAQs			dh_17i_es_20170602_2.pdf		Yes	Yes	Fillable Fileable
Other-Information Insert- FAQs			DH_17I_ES_P1_06062017.pdf		Yes	Yes	Fillable Fileable
Other-Cover Letter			dh_16_l2_ul_es_20170515.pdf		No		Paper Only
Other-Envelope			dh_6a_in_ul_es_20170522.pdf		No		Paper Only
Other-Information Insert			dh_17_cqa_20170516.pdf		No		Paper Only
Form	DH-1(UL)	English Paper Questionnaire	DH-1UL_061517 .pdf		Yes	Yes	Fillable Fileable
Other-Cover Letter			dh_16_l2_ul_20170615 .pdf		No		Paper Only
Other-Confidentiality Notice			dh_31_ul_es_20170614.pdf		No		Paper Only
Form	DH-1(ES)UL	English/Spanish Paper Questionnaire	DH-1(ES)UL_052417.pdf	survey.census.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 12 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,300	2,300
Annual IC Time Burden (Hours)	192	192
Annual IC Cost Burden (Dollars)	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.