Information Collection

Program Exit Processing (Form R-10) - Modernized UC Portal

IC 264197 under ICR 202401-0970-003 · OMB 0970-0552.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form R-10 Program Exit Processing (Form R-10) - Modernized UC Portal	Form and Instruction
R-10 Program Exit Processing - Modernized UC Portal Program Exit Processing (Form R-10) - Modernized UC Portal.docx	Form and Instruction
R-10 Program Exit Processing - Modernized UC Portal Program Exit Processing (Form R-10) - Modernized UC Portal.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	R-10	Program Exit Processing - Modernized UC Portal	Program Exit Processing (Form R-10) - Modernized UC Portal.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: 300

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	146,100	146,100
Annual IC Time Burden (Hours)	36,525	36,525
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.