Information Collection

Update Leave

IC 227087 under ICR 201811-0607-010 · OMB 0607-0999.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DH-1(UL) English Paper Questionnaire Update Leave	Form
Form DH-1(ES)UL English/Spanish Paper Questionnaire Update Leave	Form
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	Form

IC Title:

Update Leave

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Cover Letter			No		Paper Only
Other-Envelope			No		Paper Only
Other-Information Insert			No		Paper Only
Other-Information Insert-FAQs			Yes	Yes	Fillable Fileable
Other-Information Insert- FAQs			Yes	Yes	Fillable Fileable
Form	DH-1(UL)		Yes	Yes	Fillable Fileable
Other-Cover Letter			No		Paper Only
Other-Confidentiality Notice			No		Paper Only
Form	DH-1(ES)UL	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 %

table that charts list of burden
	Approved	Previously Approved
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

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.

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