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

PRS Event (Form S-22)
PRS Event Tab

Dropdown Options:
14 Day Report
60 Day Report
Semiannual Report
Annual Report
Closing
Other

Dropdown Options:
Phone
Email
In-Person
Text
Virtual

Dropdown Options:
Yes
No

Dropdown Options:
Yes
No
Dropdown Options:
Yes
No
Dropdown Options:
Law Enforcement
Child Protective Services
OTIP
Other

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Draft
Pending Supervisor Approval
Approved by Supervisor
Submitted

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.
S-22 [Rev. MM/DD/YYYY]