Information Collection

Case Manager Call Log and Case Notes (Form S-23)

IC 249580 under ICR 202504-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form S-23 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction
S-23 Case Manager Call Log and Case Notes Case Manager Call Log S-23 v 2.0 EO REDLINE_2025.04.05 - CLEAN.docx Form and Instruction
S-23 Case Manager Call Log and Case Notes Case Manager Call Log S-23 v 2.0 EO REDLINE_2025.04.05 - CLEAN.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Case Manager Call Log and Case Notes (Form S-23)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	S-23	Case Manager Call Log and Case Notes	Case Manager Call Log S-23 v 2.0 EO REDLINE_2025.04.05 - CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ORR Unaccompanied Children Bureau (UCB) Administrative Program Records	FR Citation: 89 FR 100500

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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	65,100	-1,754,916	1,820,016
Annual IC Time Burden (Hours)	5,208	-140,393	145,601
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.