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Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1)
Legal Services for Unaccompanied Children
OMB: 0970-0565
IC ID: 245639
OMB.report
HHS/ACF
OMB 0970-0565
ICR 202406-0970-001
IC 245639
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0565 can be found here:
2024-10-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Form L-1
Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1)
Form and Instruction
Form L-1 Request for Specific Consent
Request for Specific Consent (Form L-1).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Specific Consent to Juvenile Court Jurisdiction (Form L-1)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
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 L-1
Request for Specific Consent
Request for Specific Consent (Form L-1).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:
FR Citation:
Number of Respondents:
40
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:
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
40
0
0
0
0
40
Annual IC Time Burden (Hours)
10
0
0
0
0
10
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.