Information Collection

Sponsor Assessment (Form S-5)

IC 242804 under ICR 202007-0970-018 · OMB 0970-0553.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0553 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form S-5 Sponsor Assessment (Form S-5)	Form
S-5 Sponsor Assessment TAB C - Sponsor Assessment (Form S-5).docx	Form
FRP-2 Authorization for Release of Information 2020 01 31.pdf FRP-2 Authorization for Release of Information	IC Document
FRP-2s Authorization for Release of Information 2020 01 31.pdf FRP-2s Authorization for Release of Information	IC Document
FRP-11A Privacy Notice for Sponsors 2020 01 31.pdf FRP-11A Privacy Notice for Sponsors	IC Document
FRP-11As Privacy Notice for Sponsors 2020 01 31.pdf FRP-11As Privacy Notice for Sponsors	IC Document
FRP-11B Privacy Notice for Parent and Legal Guardians 2020 01 31.pdf FRP-11B Privacy Notice for Parents and Legal Guardians	IC Document
FRP-11Bs Privacy Notice for Parents and Legal Guardians 2020 01 31.pdf FRP-11Bs Privacy Notice for Parents and Legal Guardians	IC Document

IC Title:

Sponsor Assessment (Form S-5)

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	S-5	Sponsor Assessment	TAB C - Sponsor Assessment (Form S-5).docx		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: 206

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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67,362	67,362
Annual IC Time Burden (Hours)	67,362	67,362
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FRP-2 Authorization for Release of Information	FRP-2 Authorization for Release of Information 2020 01 31.pdf	08/25/2020
FRP-2s Authorization for Release of Information	FRP-2s Authorization for Release of Information 2020 01 31.pdf	08/25/2020
FRP-11A Privacy Notice for Sponsors	FRP-11A Privacy Notice for Sponsors 2020 01 31.pdf	08/25/2020
FRP-11As Privacy Notice for Sponsors	FRP-11As Privacy Notice for Sponsors 2020 01 31.pdf	08/25/2020
FRP-11B Privacy Notice for Parents and Legal Guardians	FRP-11B Privacy Notice for Parent and Legal Guardians 2020 01 31.pdf	08/25/2020
FRP-11Bs Privacy Notice for Parents and Legal Guardians	FRP-11Bs Privacy Notice for Parents and Legal Guardians 2020 01 31.pdf	08/25/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.