Information Collection

Privacy Act Administration

IC 137543 under ICR 202101-1910-001 · OMB 1910-1700.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-1700 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DOE F 531 PRIVACY ACT ADMINISTRATION	Form and Instruction
DOE F 531 PRIVACY ACT INFORMATION REQUEST DOE F 531 FINAL 181002.pdf	Form and Instruction
DOE F 206.5 Privacy Act Information Request DOE F 206.5 Privacy Act Information Final.pdf	Form and Instruction

IC Title:

PRIVACY ACT ADMINISTRATION

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 and Instruction	DOE F 206.5	Privacy Act Information Request	DOE F 206.5 Privacy Act Information Final.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 406

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	406	271	135
Annual IC Time Burden (Hours)	135	90	45
Annual IC Cost Burden (Dollars)	17,766	17,766	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.