Information Collection

Home Study Assessment (Form S-6)

IC 242805 under ICR 202206-0970-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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-6 Home Study Assessment (Form S-6)	Form and Instruction
S-6 Home Study Assessment - UC Path Version Home Study Assessment (Form S-6) - UC Path (Revised).pdf	Form and Instruction
S-6 Home Study Assessment - Word Version Home Study Report (Forms S-6) - Word.docx	Form and Instruction

IC Title:

Home Study Assessment (Form S-6)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 and Instruction	S-6	Home Study Assessment - UC Path Version	Home Study Assessment (Form S-6) - UC Path (Revised).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	S-6	Home Study Assessment - Word Version	Home Study Report (Forms S-6) - Word.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: 60

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	Previously Approved
Annual Number of Responses for this IC	4,860	4,860
Annual IC Time Burden (Hours)	3,645	3,645
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.