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Notice to UAC for Flores Visits (Forms A-4 & A-4s)
Administration and Oversight of the Unaccompanied Children Program
OMB: 0970-0547
IC ID: 241070
OMB.report
HHS/ACF
OMB 0970-0547
ICR 202409-0970-009
IC 241070
( )
Documents and Forms
Document Name
Document Type
Form A-4
Notice to UAC for Flores Visits (Forms A-4 & A-4s)
Form
A-4 Notice to UC for Flores Visits
Notice to UC for Flores Visits (Form A-4).pdf
Form
A-4 Notice to UC for Flores Visits
Notice to UC for Flores Visits (Form A-4).pdf
Form
A-4s Notice to UC for Flores Visits - Spanish
Notice to UC for Flores Visits (Form A-4s).pdf
Form
A-4s Notice to UC for Flores Visits - Spanish
Notice to UC for Flores Visits (Form A-4s).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice to UAC for Flores Visits (Forms A-4 & A-4s)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
A-4
Notice to UC for Flores Visits
Notice to UC for Flores Visits (Form A-4).pdf
Yes
Yes
Fillable Fileable
Form
A-4s
Notice to UC for Flores Visits - Spanish
Notice to UC for Flores Visits (Form A-4s).pdf
Yes
Yes
Fillable Printable
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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
5
0
0
0
0
5
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.