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Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)
Administration and Oversight of the Unaccompanied Children Program
OMB: 0970-0547
IC ID: 241078
OMB.report
HHS/ACF
OMB 0970-0547
ICR 202409-0970-009
IC 241078
( )
Documents and Forms
Document Name
Document Type
Form A-14
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)
Form
A-14 Key Personnel Qualification Checklist and Attestation
A-14 Key Personnel Qualification Checklist and Attestation_v3_ FINAL DRAFT (06.28.24).pdf
Form
A-14 Key Personnel Qualification Checklist and Attestation
A-14 Key Personnel Qualification Checklist and Attestation_v3_ FINAL DRAFT (06.28.24).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)
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-14
Key Personnel Qualification Checklist and Attestation
A-14 Key Personnel Qualification Checklist and Attestation_v3_ FINAL DRAFT (06.28.24).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:
235
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
2,115
0
0
0
0
2,115
Annual IC Time Burden (Hours)
353
0
0
0
0
353
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.