Information Collection

Unaccompanied Children Office of the OMBuds Report of a Concern

IC 270018 under ICR 202408-0970-005 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
UCOO Report of a Concern Intake Form.docx	Other-
SSA - Formative for ACF Program Support - UC Ombuds_8.8.24.docx SSA - Unaccompanied Children Office of the Ombuds Report of a Concern	IC Document

IC Title:

Unaccompanied Children Office of the Ombuds Report of a Concern

Agency IC Tracking Number:

UC Ombuds

IC Status: New

Obligation to Respond: Voluntary

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
Other-			UCOO Report of a Concern Intake Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	600	600
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Unaccompanied Children Office of the Ombuds Report of a Concern	SSA - Formative for ACF Program Support - UC Ombuds_8.8.24.docx	08/09/2024

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