Information Collection

Certification and Release of Records

IC 244631 under ICR 202308-1125-001 · OMB 1125-0017.

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

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55,475	4,879	50,596
Annual IC Time Burden (Hours)	9,246	9,246	0
Annual IC Cost Burden (Dollars)	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.