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Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16)
Services Provided to Unaccompanied Alien Children
OMB: 0970-0553
IC ID: 242814
OMB.report
HHS/ACF
OMB 0970-0553
ICR 202007-0970-018
IC 242814
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0553 can be found here:
2024-02-23 - No material or nonsubstantive change to a currently approved collection
2023-10-27 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form S-16
Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16)
Form
S-16 Summary Notes Thirty Day Restrictive Placement Case Revi
TAB M - Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
S-16
Summary Notes Thirty Day Restrictive Placement Case Review
TAB M - Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
15
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 %
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
1,020
0
1,020
0
0
0
Annual IC Time Burden (Hours)
510
0
510
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.