Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Care Provider Family Reunification Check List New 51000 5100 0 Form and Instruction 1
Child Advocate Referral and Appointment Form New 2500 1250 0 Form and Instruction 1
Discharge Notification New 30000 7200 0 Form and Instruction 1
Further Assessment Swift Track (FAST) Placement Tool New 1100 550 0 Form and Instruction 1
Individual Service Plan New 45300 22650 0 Form and Instruction 1
Initial Intakes Form New 34000 17000 0 Form and Instruction 1
Legal Service Provider List for UC New 34000 3400 0 Form and Instruction 1
Long Term Foster Care Placement Memo New 220 22 0 Form and Instruction 1
New Sponsor Form New 51000 51000 0 Form and Instruction 1
Notice of Placement in Secure or Staff Secure Facility New 154 15 0 Form and Instruction 1
Notice of Rights and Provision of Services Handout New 34000 3400 0 Form and Instruction 1
Notice of Transfer to ICE Chief Counsel and Change of Address New 30000 6000 0 Form and Instruction 1
Placement Authorization Form New 37400 3740 0 Form and Instruction 1
Release Request New 30000 7200 0 Form and Instruction 1
Standard Shelter Tour Request New 100 10 0 Form and Instruction 1
Transfere Request and Tracking Form New 3400 1700 0 Form and Instruction 1
Travel Request Form for UC Long Term Foster Care New 220 110 0 Form and Instruction 1
UC Assessment New 34000 34000 0 Form and Instruction 1
UC Case Review Form New 34000 34000 0 Form and Instruction 1
UC Portal Capacity Report New 34000 5440 0 Form and Instruction 1
URM Application New 2500 2500 0 Form and Instruction 1
Verification of Release New 30000 3000 0 Form and Instruction 1
Withdrawl of Application or Declination of Placement Form New 100 10 0 Form and Instruction 1
Total burden requested under this ICR: 518994 209297 0  
To view an IC, click on IC Title