Sponsor Assessment (Form S-5)

Services Provided to Unaccompanied Alien Children

OMB: 0970-0553

IC ID: 242804

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0553 can be found here:

2024-08-22 - No material or nonsubstantive change to a currently approved collection
2024-02-23 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form S-5 Sponsor Assessment (Form S-5) Form
S-5 Sponsor Assessment TAB C - Sponsor Assessment (Form S-5).docx Form
S-5 Sponsor Assessment TAB C - Sponsor Assessment (Form S-5).docx Form
FRP-2 Authorization for Release of Information 2020 01 31.pdf FRP-2 Authorization for Release of Information IC Document
FRP-2 Authorization for Release of Information 2020 01 31.pdf FRP-2 Authorization for Release of Information IC Document
FRP-2s Authorization for Release of Information 2020 01 31.pdf FRP-2s Authorization for Release of Information IC Document
FRP-2s Authorization for Release of Information 2020 01 31.pdf FRP-2s Authorization for Release of Information IC Document
FRP-11A Privacy Notice for Sponsors 2020 01 31.pdf FRP-11A Privacy Notice for Sponsors IC Document
FRP-11A Privacy Notice for Sponsors 2020 01 31.pdf FRP-11A Privacy Notice for Sponsors IC Document
FRP-11As Privacy Notice for Sponsors 2020 01 31.pdf FRP-11As Privacy Notice for Sponsors IC Document
FRP-11As Privacy Notice for Sponsors 2020 01 31.pdf FRP-11As Privacy Notice for Sponsors IC Document
FRP-11B Privacy Notice for Parent and Legal Guardians 2020 01 31.pdf FRP-11B Privacy Notice for Parents and Legal Guardians IC Document
FRP-11B Privacy Notice for Parent and Legal Guardians 2020 01 31.pdf FRP-11B Privacy Notice for Parents and Legal Guardians IC Document
FRP-11Bs Privacy Notice for Parents and Legal Guardians 2020 01 31.pdf FRP-11Bs Privacy Notice for Parents and Legal Guardians IC Document
FRP-11Bs Privacy Notice for Parents and Legal Guardians 2020 01 31.pdf FRP-11Bs Privacy Notice for Parents and Legal Guardians IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Sponsor Assessment (Form S-5)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	S-5	Sponsor Assessment	TAB C - Sponsor Assessment (Form S-5).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: 09-80-0321 ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 206	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: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	67,362	67,362
Annual IC Time Burden (Hours)	67,362	67,362
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FRP-2 Authorization for Release of Information	FRP-2 Authorization for Release of Information 2020 01 31.pdf	08/25/2020
FRP-2s Authorization for Release of Information	FRP-2s Authorization for Release of Information 2020 01 31.pdf	08/25/2020
FRP-11A Privacy Notice for Sponsors	FRP-11A Privacy Notice for Sponsors 2020 01 31.pdf	08/25/2020
FRP-11As Privacy Notice for Sponsors	FRP-11As Privacy Notice for Sponsors 2020 01 31.pdf	08/25/2020
FRP-11B Privacy Notice for Parents and Legal Guardians	FRP-11B Privacy Notice for Parent and Legal Guardians 2020 01 31.pdf	08/25/2020
FRP-11Bs Privacy Notice for Parents and Legal Guardians	FRP-11Bs Privacy Notice for Parents and Legal Guardians 2020 01 31.pdf	08/25/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.