Authorization for Release of Records (Form A-5 & A-5s) - Record keeping

Administration and Oversight of the Unaccompanied Children Program

OMB: 0970-0547

IC ID: 249480

Information Collection (IC) Details

View Information Collection (IC)

Authorization for Release of Records (Form A-5 & A-5s) - Record keeping
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form A-5 Authorization for Release of Records A-5 Authorization for Release of Records 04.08.22.pdf Yes Yes Fillable Fileable
Form A-5s Authorization for Release of Records - Spanish A-5s Authorization for Release of Records - final 05.03.22.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

216 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  Requested 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 4,104 0 0 0 0 4,104
Annual IC Time Burden (Hours) 1,368 0 0 0 0 1,368
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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