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Individual Service Plan (S-13) - Clinician
Unaccompanied Alien Children Assessments for Children and Sponsors
OMB:
IC ID: 274904
OMB.report
ACF
ICR 202504-0970-010
IC 274904
( )
Documents and Forms
Document Name
Document Type
Form S-13
Individual Service Plan (S-13) - Clinician
Form and Instruction
S-13 Individual Service Plan
Individual Service Plan (Form S-13) UC Portal x UC Path Integrated Edits & EO Remediated_v.3.0_2025.03.23 - CLEAN.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Individual Service Plan (S-13) - Clinician
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-13
Individual Service Plan
Individual Service Plan (Form S-13) UC Portal x UC Path Integrated Edits & EO Remediated_v.3.0_2025.03.23 - CLEAN.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
32,400
0
32,400
0
0
0
Annual IC Time Burden (Hours)
10,692
0
10,692
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.