Withdrawal of Application or Declination of Placement Form

Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form

OMB: 0970-0550

IC ID: 241922

Information Collection (IC) Details

View Information Collection (IC)

Withdrawal of Application or Declination of Placement Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Withdrawal of Application or Declination of Placement Form Withdrawal of Application or Declination of Placement Form_2.26.2020.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

30 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30 0 30 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2023 OMB.report | Privacy Policy