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Certification and Release of Records
Certification and Release of Records (Form EOIR-59)
OMB: 1125-0017
IC ID: 244631
OMB.report
DOJ/EOIR
OMB 1125-0017
ICR 202308-1125-001
IC 244631
( )
Documents and Forms
Document Name
Document Type
Form 1125-0017
Certification and Release of Records
Form and Instruction
1125-0017 Certification and Release of Records
Form EOIR 59-Cert Release_Proposed Changes_v3-clean.docx
Form and Instruction
1125-0017 Certification and Release of Records
Form EOIR 59-Cert Release_Proposed Changes_v3-clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Certification and Release of Records
Agency IC Tracking Number:
EOIR-59
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
1125-0017
Certification and Release of Records
Form EOIR 59-Cert Release_Proposed Changes_v3-clean.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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:
55,475
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
55,475
0
0
4,879
0
50,596
Annual IC Time Burden (Hours)
9,246
0
0
9,246
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.