Unaccompanied Children – Coronavirus (COVID-19) Risk Questionnaire

COVID-19 Screening Tool for Unaccompanied Children Program Staff and Visitors

OMB: 0970-0543

IC ID: 240791

Information Collection (IC) Details

View Information Collection (IC)

Unaccompanied Children – Coronavirus (COVID-19) Risk Questionnaire
 
No Unchanged
 
Voluntary
 

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

Community and Social Services Social Services

 

15,000 0
   
Individuals or Households
 
   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 3,900,000 0 0 0 0 3,900,000
Annual IC Time Burden (Hours) 128,700 0 0 0 0 128,700
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.

© 2024 OMB.report | Privacy Policy