View RCF  - Agency Submission

202308-1225-004CF 202308-1225-002CF
Received in OIRA 09/30/2025
DOL/DM
0607-1018 202202-0607-009
Certification of Identity (Form BC-300)
RCF No material or nonsubstantive change to a currently approved collection
The request for access to records must contain a verification of identity, including the requestor’s full name, current address, and date and place of birth, and be signed under penalty of perjury or notarized. Requests for the release of records will not be processed if DOL cannot confirm identity based on the information provided. Therefore, this information collection is necessary to prevent unauthorized disclosure of records of individuals maintained by DOL and allows parties to disclose or release their records to an attorney, accredited representative, qualified organization, or other third party.
None
 
Nicole Bouchet 202 646-2814 [email protected]

IC Title Status Responses Hours Dollars Document Type Form No. Form Name

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 425 40 0 385 0 0
Annual Time Burden (Hours) 43 4 0 39 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Yes
Miscellaneous Actions
No
This request is due to increased usage among DOL agencies.