Form S-22 Form S-22 Post-Release Services Report
Home Study and Post-Release Services for Unaccompanied Alien Children
PRS Report (Form S-22)_EO Revised_2025.02.24 - CLEAN
Post-Release Services Report (Form S-22) – Post-Release Service Caseworkers
OMB:
OMB
0970-####; Valid Through MM/DD/YYYY
Administration for Children and Families
Office of Refugee Resettlement
PRS Report (Form S-22)
PRS App Version
NOTE: The information displayed in this document is fake and does not belong to an actual person.
UAC
UAC
Sex
Options: Initial
engagement Ongoing
engagement Closing
engagement
THE
PAPERWORK
REDUCTION
ACT
OF
1995
(Pub.
L. 104-13)
STATEMENT
OF
PUBLIC
BURDEN:
The
purpose
of
this
information
collection
is to allow post-release service caseworkers to document referrals
made and services provided at critical junctures of service
provision, such as 14 day, 6 month, 12 month, and closure. Public
reporting burden for this collection of
information
is estimated to average 1.08 hours per response, including the time
for reviewing instructions, gathering, and maintaining the data
needed, and reviewing the
collection
of information. This is a mandatory collection of information
(Homeland Security Act, 6 U.S.C. 279, and Trafficking Victims
Protection Reauthorization Act, 8 U.S.C.
1232).
An
agency
may
not
conduct
or
sponsor,
and
a
person
is
not
required
to
respond
to,
a
collection
of
information
subject
to
the
requirements
of
the
Paperwork
Reduction
Act
of 1995, unless it displays a currently valid OMB control number. If
you have any comments on this collection of information, please
contact [email protected].
Sex
Options: With
alternate caregiver (ACG) or non-sponsor Living
independently Known
runaway Returned
to home country Location
unknown Other
Options: Law
enforcement Child
Protective Services Office
of Trafficking in Persons Other
Trafficking
Victims Assistance Program
Other
services
Trafficking
Victims Assistance Program summary
Substance
abuse summary
Substance
abuse
Other
services summary
S-22
| Version # MM/DD/YYYY
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Herboldsheimer, Shannon (ACF) |
| File Modified | 0000-00-00 |
| File Created | 2025-05-29 |
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