Information Collection

Acknowledgment of Receipt of Legal Resource Guide (LRG-4) - Care Providers

IC 271726 under ICR 202410-0970-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 LRG-4 Acknowledgment of Receipt of Legal Resource Guide (LRG-4) - Care Providers Form and Instruction
Form LRG-4 Acknowledgement of Receipt of Legal Resource Guide LRG-4 Acknowledgement of Receipt of LRG_v5_Final Draft - REVISED.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Acknowledgment of Receipt of Legal Resource Guide (LRG-4) - Care Providers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

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 LRG-4	Acknowledgement of Receipt of Legal Resource Guide	LRG-4 Acknowledgement of Receipt of LRG_v5_Final Draft - REVISED.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 09-80-0321 ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 300	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	245,100	245,100
Annual IC Time Burden (Hours)	61,275	61,275
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.