Form S-20 UC Authorized-Restricted Call List and Call Log - UC Pat

UAC Authorized/Restricted Call List and Call Log (Form S-20)
Call Logs Tab

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 case managers to create a
list of authorized and restricted contacts to ensure safe communication for the UAC and document the details of phone calls made by a UAC. Public reporting burden for this
collection of information is estimated to average 0.08 hours 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
UACPolicy@acf.hhs.gov.
UAC-S-20 [Rev. MM/DD/YYYY]

Authorized and Restricted Contact Lists Data Entry Window
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 case
managers to create a list of authorized and restricted contacts to ensure safe communication for the UAC and document the details of phone calls made by a
UAC. Public reporting burden for this collection of information is estimated to average 0.08 hours 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 UACPolicy@acf.hhs.gov.
UAC-S-20 [Rev. MM/DD/YYYY]

UAC Authorized/Restricted Call List and Call Log – UAC Call Log Data Entry

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 case managers to create a list of authorized and restricted contacts to ensure safe communication for the UAC and
document the details of phone calls made by a UAC. Public reporting burden for this collection of information is estimated to average 0.08 hours 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 UACPolicy@acf.hhs.gov.
UAC-S-20 [Rev. MM/DD/YYYY]