Information Collection Request

Services Provided to Unaccompanied Children

ICR 202402-0970-011 · OMB 0970-0553 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0553 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 1 UC Case Status	Form and Instruction	Modified	Available
Form 1 UC Case Status	Form and Instruction	Modified	Repair queued
Form S-24 Sponsor Application (Form S-24)	Form and Instruction	Unchanged	Available
Form S-24 Sponsor Application (Form S-24)	Form and Instruction	Unchanged	Missing upstream
Form S-23 Case Manager Call Log and Case Notes (Form S-23)	Form and Instruction	Unchanged	Available
Form S-23 Case Manager Call Log and Case Notes (Form S-23)	Form and Instruction	Unchanged	Repair queued
Form S-22 Post-Release Service (PRS) Event (Form S-22)	Form and Instruction	Unchanged	Available
Form S-22 Post-Release Service (PRS) Event (Form S-22)	Form and Instruction	Unchanged	Repair queued
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D)	Form and Instruction	Unchanged	Repair queued
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D)	Form and Instruction	Unchanged	Missing upstream
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C)	Form and Instruction	Unchanged	Available
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C)	Form and Instruction	Unchanged	Repair queued
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B)	Form and Instruction	Unchanged	Available
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B)	Form and Instruction	Unchanged	Missing upstream
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A)	Form and Instruction	Unchanged	Available
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A)	Form and Instruction	Unchanged	Repair queued
Form S-20 UC Authorized/Restricted Call List and Call Log (Form S-20)	Form and Instruction	Unchanged	Available
Form S-20 UC Authorized/Restricted Call List and Call Log (Form S-20)	Form and Instruction	Unchanged	Repair queued
Form S-19 Home Study/Post-Release Service (HS/PRS) Referral (Form S-19)	Form and Instruction	Unchanged	Available
Form S-19 Home Study/Post-Release Service (HS/PRS) Referral (Form S-19)	Form and Instruction	Unchanged	Repair queued
Form S-18 Admission (Form S-18)	Form and Instruction	Unchanged	Repair queued
Form S-18 Admission (Form S-18)	Form and Instruction	Unchanged	Repair queued
Form S-15 Child Advocate Recommendation and Appointment (Form S-15)	Form and Instruction	Unchanged	Available
Form S-15 Child Advocate Recommendation and Appointment (Form S-15)	Form and Instruction	Unchanged	Repair queued
Form S-14 Long Term Foster Care Travel Request (Form S-14)	Form and Instruction	Unchanged	Available
Form S-14 Long Term Foster Care Travel Request (Form S-14)	Form and Instruction	Unchanged	Repair queued
Form S-13 Individual Service Plan (Form S-13)	Form and Instruction	Unchanged	Available
Form S-13 Individual Service Plan (Form S-13)	Form and Instruction	Unchanged	Repair queued
Form S-12 UC Case Review (Form S-12)	Form and Instruction	Unchanged	Available
Form S-12 UC Case Review (Form S-12)	Form and Instruction	Unchanged	Repair queued
Form S-11 UC Assessment (Form S-11)	Form and Instruction	Unchanged	Available
Form S-11 UC Assessment (Form S-11)	Form and Instruction	Unchanged	Missing upstream
Form S-9 Assessment for Risk (Form S-9)	Form and Instruction	Unchanged	Available
Form S-9 Assessment for Risk (Form S-9)	Form and Instruction	Unchanged	Repair queued
Form S-8 Initial Intakes Assessment (Form S-8)	Form and Instruction	Unchanged	Available
Form S-8 Initial Intakes Assessment (Form S-8)	Form and Instruction	Unchanged	Repair queued
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7)	Form and Instruction	Unchanged	Available
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7)	Form and Instruction	Unchanged	Repair queued
Form S-6 Home Study Assessment (Form S-6)	Form and Instruction	Unchanged	Available
Form S-6 Home Study Assessment (Form S-6)	Form and Instruction	Unchanged	Repair queued
Form S-5 Sponsor Assessment (Form S-5)	Form and Instruction	Unchanged	Available
Form S-5 Sponsor Assessment (Form S-5)	Form and Instruction	Unchanged	Repair queued
Nonsub Memo_0970-0553_Services_009_2023 09 271.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-22	Available
Nonsub Memo_0970-0553_Services_009_2023 09 271.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-22	Repair queued
Nonsub Memo_0970-0553_Services_007 _2023 10 26.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-10-26	Available
Nonsub Memo_0970-0553_Services_007 _2023 10 26.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-10-26	Repair queued
Nonsub Memo_0970-0553_Services_008 _2023 09 25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-09-25	Available
Nonsub Memo_0970-0553_Services_008 _2023 09 25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-09-25	Repair queued
Nonsub Memo_0970-0553_Services_006 _2023 07 25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-25	Available
Nonsub Memo_0970-0553_Services_006 _2023 07 25.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-25	Repair queued
Appendix B - S-5 Sponsor Assessment - Flags Section Mockup.pdf	Supplementary Document	Uploaded 2023-07-25	Available
Appendix B - S-5 Sponsor Assessment - Flags Section Mockup.pdf	Supplementary Document	Uploaded 2023-07-25	Repair queued
Appendix A - Proposed Revisions for S-5 Sponsor Assessment - Flags Section.xlsx	Supplementary Document	Uploaded 2023-07-25	Available
Appendix A - Proposed Revisions for S-5 Sponsor Assessment - Flags Section.xlsx	Supplementary Document	Uploaded 2023-07-25	Repair queued
0970-0553_Services_NonSub Change Request _UC Case Status_2022 05 23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-06-09	Available
0970-0553_Services_NonSub Change Request _UC Case Status_2022 05 23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-06-09	Repair queued
0970-0553 NonSub Change Request Memo (04.21.22).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-04-22	Repair queued
0970-0553 NonSub Change Request Memo (04.21.22).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-04-22	Repair queued
SSA Attachment A_0970-0553_Services_003_2022 04 20.docx	Supplementary Document	Uploaded 2022-04-20	Available
SSA Attachment A_0970-0553_Services_003_2022 04 20.docx	Supplementary Document	Uploaded 2022-04-20	Repair queued
SSA_0970-0553_Services_003_2022 4 22 UPDATED.docx	Supporting Statement A	Uploaded 2022-04-22	Available
SSA_0970-0553_Services_003_2022 4 22 UPDATED.docx	Supporting Statement A	Uploaded 2022-04-22	Repair queued

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status
249583	UC Case Status	Form and Instruction	Modified
249583	UC Case Status	Form and Instruction	Modified
249581	Sponsor Application (Form S-24)	Form and Instruction	Unchanged
249581	Sponsor Application (Form S-24)	Form and Instruction	Unchanged
249580	Case Manager Call Log and Case Notes (Form S-23)	Form and Instruction	Unchanged
249580	Case Manager Call Log and Case Notes (Form S-23)	Form and Instruction	Unchanged
249579	Post-Release Service (PRS) Event (Form S-22)	Form and Instruction	Unchanged
249579	Post-Release Service (PRS) Event (Form S-22)	Form and Instruction	Unchanged
249578	Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D)	Form and Instruction	Unchanged
249578	Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D)	Form and Instruction	Unchanged
249577	Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C)	Form and Instruction	Unchanged
249577	Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C)	Form and Instruction	Unchanged
249576	Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B)	Form and Instruction	Unchanged
249576	Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B)	Form and Instruction	Unchanged
249575	Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A)	Form and Instruction	Unchanged
249575	Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A)	Form and Instruction	Unchanged
249574	UC Authorized/Restricted Call List and Call Log (Form S-20)	Form and Instruction	Unchanged
249574	UC Authorized/Restricted Call List and Call Log (Form S-20)	Form and Instruction	Unchanged
249573	Home Study/Post-Release Service (HS/PRS) Referral (Form S-19)	Form and Instruction	Unchanged
249573	Home Study/Post-Release Service (HS/PRS) Referral (Form S-19)	Form and Instruction	Unchanged
242815	Admission (Form S-18)	Form and Instruction	Unchanged
242815	Admission (Form S-18)	Form and Instruction	Unchanged
242813	Child Advocate Recommendation and Appointment (Form S-15)	Form and Instruction	Unchanged
242813	Child Advocate Recommendation and Appointment (Form S-15)	Form and Instruction	Unchanged
242812	Long Term Foster Care Travel Request (Form S-14)	Form and Instruction	Unchanged
242812	Long Term Foster Care Travel Request (Form S-14)	Form and Instruction	Unchanged
242811	Individual Service Plan (Form S-13)	Form and Instruction	Unchanged
242811	Individual Service Plan (Form S-13)	Form and Instruction	Unchanged
242810	UC Case Review (Form S-12)	Form and Instruction	Unchanged
242810	UC Case Review (Form S-12)	Form and Instruction	Unchanged
242809	UC Assessment (Form S-11)	Form and Instruction	Unchanged
242809	UC Assessment (Form S-11)	Form and Instruction	Unchanged
242808	Assessment for Risk (Form S-9)	Form and Instruction	Unchanged
242808	Assessment for Risk (Form S-9)	Form and Instruction	Unchanged
242807	Initial Intakes Assessment (Form S-8)	Form and Instruction	Unchanged
242807	Initial Intakes Assessment (Form S-8)	Form and Instruction	Unchanged
242806	Adult Contact Profile (Portal Form S-5; Path Form S-7)	Form and Instruction	Unchanged
242806	Adult Contact Profile (Portal Form S-5; Path Form S-7)	Form and Instruction	Unchanged
242805	Home Study Assessment (Form S-6)	Form and Instruction	Unchanged
242805	Home Study Assessment (Form S-6)	Form and Instruction	Unchanged
242804	Sponsor Assessment (Form S-5)	Form and Instruction	Unchanged
242804	Sponsor Assessment (Form S-5)	Form and Instruction	Unchanged

ICR Details

Record metadata
Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0553
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202310-0970-013
Agency Tracking No	ORR
Date Submitted to OIRA	2024-02-23
Requested Expiration Date	1969-12-31