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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.