Information Collection

Authorization for Release of Information

IC 217211 under ICR 201805-0970-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 1 Authorization for Release of Information	Form and Instruction
1 FRP-2 FRP-2 Authorization for Release of Information MOA (5-09-2018).docx	Form and Instruction

IC Title:

Authorization for Release of Information

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:

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	1	FRP-2	FRP-2 Authorization for Release of Information MOA (5-09-2018).docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90,000

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	90,000	90,000
Annual IC Time Burden (Hours)	45,000	45,000
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.