Information Collection

Unaccompanied Children – Coronavirus (COVID-19) Risk Questionnaire

IC 240791 under ICR 202109-0970-006 · OMB 0970-0543.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0543 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
COVID-19 Verbal Screening and Temperature Check for Staff and Visitors v2.docx	Other-Questionnaire
COVID-19 Verbal Screening and Temperature Check for Staff and Visitors v2.docx	Other-Questionnaire

IC Title:

Unaccompanied Children â Coronavirus (COVID-19) Risk Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Other-Questionnaire			COVID-19 Verbal Screening and Temperature Check for Staff and Visitors v2.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,900,000	3,900,000
Annual IC Time Burden (Hours)	128,700	128,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.