Information Collection

Certification and Release of Records

IC 244631 under ICR 202007-1125-002 · OMB 1125-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1125-xxxx Certification and Release of Records	Form and Instruction
1125-xxxx EOIR-59 DRAFT Form EOIR 59 2020.pdf www.justice.gov/eoir	Form and Instruction
1125-xxxx EOIR-59 DRAFT Form EOIR 59 2020.pdf www.justice.gov/eoir	Form and Instruction
DRAFT Form EOIR 59 2020.pdf Form EOIR-59	IC Document
DRAFT Form EOIR 59 2020.pdf Form EOIR-59	IC Document

IC Title:

Certification and Release of Records

Agency IC Tracking Number:

EOIR-59

Is this a Common Form? Yes

IC Status: New

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 and Instruction	1125-xxxx	EOIR-59	DRAFT Form EOIR 59 2020.pdf	www.justice.gov/eoir	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: Records and Management Information System

FR Citation: 72 FR 3410

Number of Respondents: 50,596

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,596	50,596
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form EOIR-59	DRAFT Form EOIR 59 2020.pdf	11/25/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.