Information Collection

Risk Determination Hearing Opt-Out (Form RDH-2)

IC 267480 under ICR 202405-0970-004 · OMB 0970-0633.

Documents and Forms

Document Name Document Type
Form RDH-2 Risk Determination Hearing Opt-Out (Form RDH-2) Form and Instruction
RDH-2 Risk Determination Hearing Opt-Out Risk Determination Hearing Opt-Out (Form RDH-2)_2024 05 03.pdf Form and Instruction
RDH-2 Risk Determination Hearing Opt-Out Risk Determination Hearing Opt-Out (Form RDH-2)_CLEAN_06-07-24.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Risk Determination Hearing Opt-Out (Form RDH-2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	RDH-2	Risk Determination Hearing Opt-Out	Risk Determination Hearing Opt-Out (Form RDH-2)_CLEAN_06-07-24.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 250	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
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	43	43
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.