Information Collection

Authorization for Release of Information

IC 217211 under ICR 202105-0970-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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 FRP-2 Authorization for Release of Information	Form and Instruction
FRP-2 Authorization for Release of Information FRP-2 Authorization for Release of Information DRAFT (05.13.21).pdf	Form and Instruction
FRP-2 (Spanish) Authorization for Release of Information FRP-2s Authorization for Release of Information DRAFT (05.13.21).pdf	Form and Instruction
NonSub Change Request - Updated Authorization and Privacy Notices - 2020.docx Non-Substantive Change Memo - Updated Authorization and Privacy Notices - 2020	IC Document

IC Title:

Authorization for Release of Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	FRP-2	Authorization for Release of Information	FRP-2 Authorization for Release of Information DRAFT (05.13.21).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FRP-2 (Spanish)	Authorization for Release of Information	FRP-2s Authorization for Release of Information DRAFT (05.13.21).pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45,300

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	45,300	45,300
Annual IC Time Burden (Hours)	33,975	33,975
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Non-Substantive Change Memo - Updated Authorization and Privacy Notices - 2020	NonSub Change Request - Updated Authorization and Privacy Notices - 2020.docx	08/31/2020

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