Form S-22 Post-Release Service (PRS) Event

Post-Release Service Event (Form S-22)
Data Entry Window

PRS Event Page

Placement Stability
and Safety
Immigration Proceedings

Placement Stability
and Safety Summary
Immigration Proceedings
Summary

Guardianship

Guardianship
Summary

Legal Services

Legal Services
Summary

Education

Education
Summary

Medical Services

Medical Services
Summary

Individual Mental
Health Services

Individual Mental Health
Services Summary

Family
Stabilization/Counseling

Family
Stabilization/Counseling
Summary

Substance Abuse

Substance Abuse
Summary

OMB 0970-0553 [valid through MM/DD/YYYY]
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 information about the UC’s placement with their sponsor, safety
status, and service areas addressed. Public reporting burden for this collection of information is estimated to average 1 hour 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 UCPolicy@acf.hhs.gov.
UC-S-22 [Rev. MM/DD/YYYY]