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Care Provider Facility Tour Request (Form A-1A)
Administration and Oversight of the Unaccompanied Children Program
OMB: 0970-0547
IC ID: 241067
OMB.report
HHS/ACF
OMB 0970-0547
ICR 202409-0970-009
IC 241067
( )
Documents and Forms
Document Name
Document Type
Form A-1A
Care Provider Facility Tour Request (Form A-1A)
Form
A-1A Care Provider Facility Tour Request
Care Provider Facility Tour Request (Form A-1A) - PDF.pdf
Form
A-1A Care Provider Facility Tour Request
Care Provider Facility Tour Request (Form A-1A) - PDF.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Care Provider Facility Tour Request (Form A-1A)
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
A-1A
Care Provider Facility Tour Request
Care Provider Facility Tour Request (Form A-1A) - PDF.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:
200
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
200
0
0
0
0
200
Annual IC Time Burden (Hours)
33
0
0
0
0
33
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.