Information Collection

UC Case Status

IC 249583 under ICR 202408-0970-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 1 UC Case Status	Form and Instruction
Form 1 UC Case Status	Form and Instruction
1 UC Case Status UC Case Status - Revised Feb 2024.pdf	Form and Instruction
1 UC Case Status UC Case Status - Revised Feb 2024.pdf	Form and Instruction
1b Location of Child Location of Child Mockup.docx	Form
1b Location of Child Location of Child Mockup.docx	Form

IC Title:

UC Case Status

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1	UC Case Status	UC Case Status - Revised Feb 2024.pdf		Yes	Yes	Fillable Fileable
Form	1b	Location of Child	Location of Child Mockup.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: 216

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	Previously Approved
Annual Number of Responses for this IC	60,048	0	60,048
Annual IC Time Burden (Hours)	4,804	-200	5,004
Annual IC Cost Burden (Dollars)	0	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.