Services Provided to Unaccompanied Children

ICR 202402-0970-011

OMB: 0970-0553

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0553 can be found here:

Forms and Documents

Document Name	Status
Form 1 UC Case Status Form and Instruction	Modified
Form 1 UC Case Status Form and Instruction	Modified
Form S-24 Sponsor Application (Form S-24) Form and Instruction	Unchanged
Form S-24 Sponsor Application (Form S-24) Form and Instruction	Unchanged
Form S-23 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction	Unchanged
Form S-23 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction	Unchanged
Form S-22 Post-Release Service (PRS) Event (Form S-22) Form and Instruction	Unchanged
Form S-22 Post-Release Service (PRS) Event (Form S-22) Form and Instruction	Unchanged
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction	Unchanged
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction	Unchanged
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction	Unchanged
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction	Unchanged
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction	Unchanged
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction	Unchanged
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction	Unchanged
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction	Unchanged
Form S-20 UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction	Unchanged
Form S-20 UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction	Unchanged
Form S-19 Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction	Unchanged
Form S-19 Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction	Unchanged
Form S-18 Admission (Form S-18) Form and Instruction	Unchanged
Form S-18 Admission (Form S-18) Form and Instruction	Unchanged
Form S-15 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction	Unchanged
Form S-15 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction	Unchanged
Form S-14 Long Term Foster Care Travel Request (Form S-14) Form and Instruction	Unchanged
Form S-14 Long Term Foster Care Travel Request (Form S-14) Form and Instruction	Unchanged
Form S-13 Individual Service Plan (Form S-13) Form and Instruction	Unchanged
Form S-13 Individual Service Plan (Form S-13) Form and Instruction	Unchanged
Form S-12 UC Case Review (Form S-12) Form and Instruction	Unchanged
Form S-12 UC Case Review (Form S-12) Form and Instruction	Unchanged
Form S-11 UC Assessment (Form S-11) Form and Instruction	Unchanged
Form S-11 UC Assessment (Form S-11) Form and Instruction	Unchanged
Form S-9 Assessment for Risk (Form S-9) Form and Instruction	Unchanged
Form S-9 Assessment for Risk (Form S-9) Form and Instruction	Unchanged
Form S-8 Initial Intakes Assessment (Form S-8) Form and Instruction	Unchanged
Form S-8 Initial Intakes Assessment (Form S-8) Form and Instruction	Unchanged
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction	Unchanged
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction	Unchanged
Form S-6 Home Study Assessment (Form S-6) Form and Instruction	Unchanged
Form S-6 Home Study Assessment (Form S-6) Form and Instruction	Unchanged
Form S-5 Sponsor Assessment (Form S-5) Form and Instruction	Unchanged
Form S-5 Sponsor Assessment (Form S-5) Form and Instruction	Unchanged
Nonsub Memo_0970-0553_Services_009_2023 09 271.docx Justification for No Material/Nonsubstantive Change	2024-02-22
Nonsub Memo_0970-0553_Services_009_2023 09 271.docx Justification for No Material/Nonsubstantive Change	2024-02-22
Nonsub Memo_0970-0553_Services_007 _2023 10 26.docx Justification for No Material/Nonsubstantive Change	2023-10-26
Nonsub Memo_0970-0553_Services_007 _2023 10 26.docx Justification for No Material/Nonsubstantive Change	2023-10-26
Nonsub Memo_0970-0553_Services_008 _2023 09 25.docx Justification for No Material/Nonsubstantive Change	2023-09-25
Nonsub Memo_0970-0553_Services_008 _2023 09 25.docx Justification for No Material/Nonsubstantive Change	2023-09-25
Nonsub Memo_0970-0553_Services_006 _2023 07 25.docx Justification for No Material/Nonsubstantive Change	2023-07-25
Nonsub Memo_0970-0553_Services_006 _2023 07 25.docx Justification for No Material/Nonsubstantive Change	2023-07-25
Appendix B - S-5 Sponsor Assessment - Flags Section Mockup.pdf Supplementary Document	2023-07-25
Appendix B - S-5 Sponsor Assessment - Flags Section Mockup.pdf Supplementary Document	2023-07-25
Appendix A - Proposed Revisions for S-5 Sponsor Assessment - Flags Section.xlsx Supplementary Document	2023-07-25
Appendix A - Proposed Revisions for S-5 Sponsor Assessment - Flags Section.xlsx Supplementary Document	2023-07-25
0970-0553_Services_NonSub Change Request _UC Case Status_2022 05 23.docx Justification for No Material/Nonsubstantive Change	2022-06-09
0970-0553_Services_NonSub Change Request _UC Case Status_2022 05 23.docx Justification for No Material/Nonsubstantive Change	2022-06-09
0970-0553 NonSub Change Request Memo (04.21.22).docx Justification for No Material/Nonsubstantive Change	2022-04-22
0970-0553 NonSub Change Request Memo (04.21.22).docx Justification for No Material/Nonsubstantive Change	2022-04-22
SSA Attachment A_0970-0553_Services_003_2022 04 20.docx Supplementary Document	2022-04-20
SSA Attachment A_0970-0553_Services_003_2022 04 20.docx Supplementary Document	2022-04-20
SSA_0970-0553_Services_003_2022 4 22 UPDATED.docx Supporting Statement A	2022-04-22
SSA_0970-0553_Services_003_2022 4 22 UPDATED.docx Supporting Statement A	2022-04-22

IC Document Collections

IC ID	Document Title	Status
249583	UC Case Status Form and Instruction	Modified
249583	UC Case Status Form and Instruction	Modified
249581	Sponsor Application (Form S-24) Form and Instruction	Unchanged
249581	Sponsor Application (Form S-24) Form and Instruction	Unchanged
249580	Case Manager Call Log and Case Notes (Form S-23) Form and Instruction	Unchanged
249580	Case Manager Call Log and Case Notes (Form S-23) Form and Instruction	Unchanged
249579	Post-Release Service (PRS) Event (Form S-22) Form and Instruction	Unchanged
249579	Post-Release Service (PRS) Event (Form S-22) Form and Instruction	Unchanged
249578	Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction	Unchanged
249578	Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction	Unchanged
249577	Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction	Unchanged
249577	Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction	Unchanged
249576	Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction	Unchanged
249576	Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction	Unchanged
249575	Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction	Unchanged
249575	Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction	Unchanged
249574	UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction	Unchanged
249574	UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction	Unchanged
249573	Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction	Unchanged
249573	Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction	Unchanged
242815	Admission (Form S-18) Form and Instruction	Unchanged
242815	Admission (Form S-18) Form and Instruction	Unchanged
242813	Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction	Unchanged
242813	Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction	Unchanged
242812	Long Term Foster Care Travel Request (Form S-14) Form and Instruction	Unchanged
242812	Long Term Foster Care Travel Request (Form S-14) Form and Instruction	Unchanged
242811	Individual Service Plan (Form S-13) Form and Instruction	Unchanged
242811	Individual Service Plan (Form S-13) Form and Instruction	Unchanged
242810	UC Case Review (Form S-12) Form and Instruction	Unchanged
242810	UC Case Review (Form S-12) Form and Instruction	Unchanged
242809	UC Assessment (Form S-11) Form and Instruction	Unchanged
242809	UC Assessment (Form S-11) Form and Instruction	Unchanged
242808	Assessment for Risk (Form S-9) Form and Instruction	Unchanged
242808	Assessment for Risk (Form S-9) Form and Instruction	Unchanged
242807	Initial Intakes Assessment (Form S-8) Form and Instruction	Unchanged
242807	Initial Intakes Assessment (Form S-8) Form and Instruction	Unchanged
242806	Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction	Unchanged
242806	Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction	Unchanged
242805	Home Study Assessment (Form S-6) Form and Instruction	Unchanged
242805	Home Study Assessment (Form S-6) Form and Instruction	Unchanged
242804	Sponsor Assessment (Form S-5) Form and Instruction	Unchanged
242804	Sponsor Assessment (Form S-5) Form and Instruction	Unchanged

ICR Details