Information Collection

Safety and Well-Being Call (R-6)

IC 242803 under ICR 202109-0970-019 · OMB 0970-0552.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0552 can be found here:

Documents and Forms

Document Name Document Type
Form R-6 Safety and Well-Being Call (R-6) Form and Instruction
R-6 Safety and Well-Being Call Report - UC Path Version Safety and Well-Being Call Report (Form R-6) - UC Path.pdf Form and Instruction
R-6 Safety and Well-Being Call Report - UC Path Version Safety and Well-Being Call Report (Form R-6) - Revised.pdf Form and Instruction
R-6 Safety and Well-Being Call Report - Excel Version Safety and Well-Being Call Report (Form R-6) - Excel.xlsx Form and Instruction
R-6 Safety and Well-Being Call Report - Excel Version Safety and Well-Being Call Report (Form R-6) - Current.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Safety and Well-Being Call (R-6)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	R-6	Safety and Well-Being Call Report - UC Path Version	Safety and Well-Being Call Report (Form R-6) - Revised.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	R-6	Safety and Well-Being Call Report - Excel Version	Safety and Well-Being Call Report (Form R-6) - Current.xlsx		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: 216	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54,648	-18,276	72,924
Annual IC Time Burden (Hours)	40,986	4,524	36,462
Annual IC Cost Burden (Dollars)	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.