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Federal forms, ICRs, and supporting documents

Information Collection

Individual 504 Service Plan (Form S-25) – Care Provider Case Manager

IC 274814 under ICR 202603-0970-010 · OMB 0970-0643.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Individual 504 Service Plan (Form S-25) – Care Provider Case Manager
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction S-25 Individual 504 Service Plan S-25 (ENG) Individualized Section 504 Service Plan_v2_English_CLEAN (03.13.26).docx Yes Yes Fillable Fileable
Form and Instruction S-25 (Spanish) Individualized Section 504 Service Plan - Spanish S-25 (SPA) Individualized Section 504 Service Plan_v2_Spanish_CLEAN (03.13.26).docx Yes Yes Fillable Fileable

Community and Social Services Social Services

ORR Unaccompanied Children Bureau (UCB) Administrative Program Records  89 FR 100500

300 0
   
Individuals or Households
 
   100 %

  Approved 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 2,100 0 0 0 0 2,100
Annual IC Time Burden (Hours) 6,300 0 0 0 0 6,300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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