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UAC Case Review (Form S-12)
Services Provided to Unaccompanied Alien Children
OMB: 0970-0553
IC ID: 242810
OMB.report
HHS/ACF
OMB 0970-0553
ICR 202012-0970-009
IC 242810
( )
⚠️ Notice: This information collection may be referencing outdated material.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-12
UAC Case Review (Form S-12)
Form
S-12 UAC Case Review
TAB I - UAC Case Review (Form S-12).pdf
Form
S-12 UAC Case Review
TAB I - UAC Case Review (Form S-12).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
UAC Case Review (Form S-12)
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-12
UAC Case Review
TAB I - UAC Case Review (Form S-12).pdf
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
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
157,384
0
0
0
0
157,384
Annual IC Time Burden (Hours)
78,692
0
0
0
0
78,692
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.