Information Collection

Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1)

IC 245639 under ICR 202108-0970-017 · OMB 0970-0565.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0565 can be found here:

Documents and Forms

Document Name Document Type
Form Form L-1 Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1) Form and Instruction
Form L-1 Request for Specific Consent Request for Specific Consent (Form L-1).pdf Form and Instruction
Form L-1 Request for Specific Consent Request for Specific Consent (Form L-1).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form L-1	Request for Specific Consent	Request for Specific Consent (Form L-1).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: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.