Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Respondents

Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0564 can be found here:

Documents and Forms

Document Name Document Type
Form Form M-11N Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Respondents Form and Instruction
Form M-11N Foster Care Independent Living Life Skills Staff Questio LTFC Independent Living Life Skills Staff Questionnaire (Form M-11N).docx Form and Instruction
Form M-11N Foster Care Independent Living Life Skills Staff Questio LTFC Independent Living Life Skills Staff Questionnaire (Form M-11N).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	Form M-11N	Foster Care Independent Living Life Skills Staff Questionnaire	LTFC Independent Living Life Skills Staff Questionnaire (Form M-11N).docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ORR Unaccompanied Refugee Minors Records	FR Citation: 81 FR 46682

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18	3	15
Annual IC Time Burden (Hours)	18	3	15
Annual IC Cost Burden (Dollars)	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.