Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assessment for Risk (Form S-9) New 163564 81782 0 Form S-9 Assessment for Risk
Child Advocate Referral and Appointment (Form S-15) New 1030 258 0 Form S-15 Child Advocate Referral and Appointment
Home Study Report (Form S-6) New 4004 3003 0 Form S-6 Home Study Report
Individual Service Plan (Form S-13) New 202910 50728 0 Form S-13 Individual Service Plan
Initial Intakes Assessment (Form S-8) New 74778 18695 0 Form S-8 Initial Intakes Assessment
New Sponsor (Form S-7) New 67362 22454 0 Form S-7 New Sponsor
Sponsor Assessment (Form S-5) New 67362 67362 0 Form S-5 Sponsor Assessment
Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16) New 1020 510 0 Form S-16 Summary Notes Thirty Day Restrictive Placement Case Review
UAC Assessment (Form S-11) New 76014 57011 0 Form S-11 UAC Assessment
UAC Case Review (Form S-12) New 157384 78692 0 Form S-12 UAC Case Review
UAC Case Status New 72924 3646 0 Other-Case Status
UAC Long Term Foster Care Travel Request (Form S-14) New 270 68 0 Form S-14 UAC Long Term Foster Care Travel Request
Total burden requested under this ICR: 888622 384209 0  
To view an IC, click on IC Title