Regulatory Collection Filing

RCF 202308-1225-004CF

OMB 0607-1018 · Certification of Identity (Form BC-300)

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    [obm] => 0607-1018
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    [status] => Received in OIRA
    [agency] => DOL/DM
    [title] => Certification of Identity (Form BC-300)
    [typeRCF] => RCF No material or nonsubstantive change to a currently approved collection
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    [termsOfClearance] => 
    [previousRCF] => 202308-1225-002CF
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    [conclusionDate] => 1969-12-31
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Document

View RCF - Agency Submission

RCF ID: 202308-1225-004CF	Previous RCF ID: 202308-1225-002CF
Status: Received in OIRA	Expiration Date: 09/30/2025
Agency/Subagency: DOL/DM	Agency Tracking No:
Host OMB Control No: 0607-1018	Host ICR Reference No: 202202-0607-009

Title: Certification of Identity (Form BC-300)

Type of RCF: RCF No material or nonsubstantive change to a currently approved collection

Description of Agency Usage: 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.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Nicole Bouchet 202 646-2814 nicole.bouchet@dhs.gov

Common Form Information Collections (IC) in this RCF:

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

RCF Summary of Burden:

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	425	40	385
Annual Time Burden (Hours)	43	4	39
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is due to increased usage among DOL agencies.