Fugitive Felon Model Agreement

Fugitive Felon Computer Matching Agreements

Documents and Forms

Document Name Document Type
Fugitive Felon Model Agreement 04-23-07.doc Instruction
PRA Language Fugitive Felon Agreement 05-13-07.doc Instruction

Information Collection (IC) Details

IC Title:	Fugitive Felon Model Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 416.1339 20 CFR 404.471

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			PRA Language Fugitive Felon Agreement 05-13-07.doc		Yes	Yes	Fillable Fileable Signable
Instruction			Fugitive Felon Model Agreement 04-23-07.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	120	120
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.