Appendix A for NonSub Change - Form S-5

Appendix A
Proposed Revisions for Sponsor Assessment (Form S-5) - Flags Section
Proposed Subsection	Proposed Field	Proposed Field Type/Options	Current Process	Notes
New Flag
	Flag Type	Dropdown	Programs complete one of the following fields: Sponsor Flag (yes/no) and Address Flag (yes/no)	In addition to sponsors, programs are currently required to enter flags for household members and alternate caregivers. Since there is no separate are for these types of individuals, programs enter this information in the Sponsor Flag subsection.
		Sponsor
		Household Member
		Alternative Caregiver
		Address
	Name	Dropdown	Programs are currently required enter all details regarding the flag in the text box in the Sponsor Flag (for sponsors, household members, and alternate caregivers) or Address Flag subsections, including the name of the individual or address being flagged.
		If sponsor is selected: autofill the sponsor's name		Auto-populates from information entered in the Sponsor Demographic Information section of this form.
		If household member: dropdown with names		Dropdown options auto-populate from information entered in the Household section of this form.
		if alternative caregiver: dropdown with names		Dropdown options auto-populate from information entered in the Care Plan section of this form.
		if address: autofill address		Auto-populates from information entered in the Contact Information section of this form.
	Flag Category	Dropdown	Programs are currently required to create flags for all scenarios proposed as dropdown options for this field. Program currently enter this information in the open textbox. These categories will provide consistent phrasing for flags.	Concerns that need to be flagged are typcially identified through information collected in other sections of this form, or through information collected in other OMB-approved instruments. All identified concerns are complied in the Flags section and additional information is entered (e.g., what the risk is to the child, steps taken to mitigation the risk).
		For Sponsors
		Criminal Activity or Charges		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) Family Reunification Application, Form FRP-3 approved under 0970-0278, and 3) Notification of Concern, Form A-7 approved under 0970-0547.
		Document/Information Fraud		Flag identified by review of information/documents provided in the currently-approved versions of: 1) other sections of this form, 2) Family Reunification Application, Form FRP-3 approved under 0970-0278, and 3) SIR, Form A-10B approved under 0970-0547.
		Suspicion of Trafficking a Minor		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) child assessments approved under 0970-0553 (Initial Intakes Assessment, Form S-8; Assessment for Risk, Form S-9; UC Assessment, Form S-11; UC Case Review, Form S-12), 3) Notification of Concern, Form A-7 approved under 0970-0547, and 4) SIR, Form A-10B approved under 0970-0547.
		Confirmed Trafficking of a Minor		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) child assessments approved under 0970-0553 (Initial Intakes Assessment, Form S-8; Assessment for Risk, Form S-9; UC Assessment, Form S-11; UC Case Review, Form S-12), 3) Notification of Concern, Form A-7 approved under 0970-0547, and 4) SIR, Form A-10B approved under 0970-0547.
		Failed to enroll a minor in school		Flag identified through information already collected in the currently-approved version of this form.
		Did not report that minor left the home		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, and 2) Notification of Concern, Form A-7 approved under 0970-0547.
		Not helping minor with their immigration requirements		Flag identified through information already collected in the currently-approved version of this form.
		Not providing for minor's basic needs (ex. food, clothing, or a bed)		Flag identified through information already collected in the currently-approved version of the Notification of Concern, Form A-7 approved under 0970-0547.
		Minor is not receiving necessary medical/mental health care		Flag identified through information already collected in the currently-approved version of the Notification of Concern, Form A-7 approved under 0970-0547.
		Abandonment of minor		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, and 2) Notification of Concern, Form A-7 approved under 0970-0547.
		CPS Involvement		Flag identified through information already collected in the currently-approved version of the Notification of Concern, Form A-7 approved under 0970-0547.
		Trafficking and/or exploitation concerns involving sponsor's employer/industry		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) Family Reunification Application, Form FRP-3 approved under 0970-0278, and 3) Notification of Concern, Form A-7 approved under 0970-0547, and 4) SIR, Form A-10B approved under 0970-0547.
		Loss of contact with sponsor or child during post release services with safety concerns		Flag identified through information already collected in the currently-approved version of the Notification of Concern, Form A-7 approved under 0970-0547.
		For Household Members & Alternative Caregivers
		Criminal Activity or Charges		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) Family Reunification Application, Form FRP-3 approved under 0970-0278, and 3) Notification of Concern, Form A-7 approved under 0970-0547.
		Document/Information Fraud		Flag identified by review of information/documents provided in the currently-approved versions of: 1) other sections of this form, 2) Family Reunification Application, Form FRP-3 approved under 0970-0278, and 3) SIR, Form A-10B approved under 0970-0547.
		Suspicion of Trafficking a Minor		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) child assessments approved under 0970-0553 (Initial Intakes Assessment, Form S-8; Assessment for Risk, Form S-9; UC Assessment, Form S-11; UC Case Review, Form S-12), 3) Notification of Concern, Form A-7 approved under 0970-0547, and 4) SIR, Form A-10B approved under 0970-0547.
		Confirmed Trafficking of a Minor		Flag identified through information already collected in the currently-approved versions of: 1) other sections of this form, 2) child assessments approved under 0970-0553 (Initial Intakes Assessment, Form S-8; Assessment for Risk, Form S-9; UC Assessment, Form S-11; UC Case Review, Form S-12), 3) Notification of Concern, Form A-7 approved under 0970-0547, and 4) SIR, Form A-10B approved under 0970-0547.
		CPS Involvement		Flag identified through information already collected in the currently-approved version of the Notification of Concern, Form A-7 approved under 0970-0547.
		For Address
		Home study determination of substandard housing		Flag identified through information already collected in the currently-approved version of the Home Study Assessment, Form S-6 approved under 0970-0553.
		Used for previous sponsorships		Flag identified through information already collected in the currently-approved version of this form.
		Concerning activity identified at address (ex. trafficking, sexual abuse)		Flag identified through information already collected in the currently-approved version of the Notification of Concern, Form A-7 approved under 0970-0547.
	Flag Description	Open Textbox	All information about the flag (date, name or address, type of individual (if applicable), what the flag is for, details regarding the flag (including risk to the child), subsequent comments (including steps taken to mitigate the risk)) is entered into this textbox.	This textbox currently exists in Flags section. With these revisions information entered here will be limited to details regarding the flag. All other information currently entered here will be captured in the Flag Type, Name, Flag Category, and Comment Box fields.
Saved Flag(s)
	Comments	Open Textbox	Entered in existing open textbox.