Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Contact Profile (S-7) - Unification Specialist New 65280 48960 0 Form and Instruction S-7 Adult Contact Profile
Assessment for Risk (S-9) - Case Manager New 32400 24300 0 Form and Instruction S-9 Assessment for Risk
Assessment for Risk (S-9) - Child New 65000 48750 0 Form and Instruction S-9 Assessment for Risk
Assessment for Risk (S-9) - Clinician New 32400 24300 0 Form and Instruction S-9 Assessment for Risk
Assessment for Risk (S-9) - Interpreter New 65100 48825 0 Form and Instruction S-9 Assessment for Risk
Category 4 Reunification Case Review and Staffing (TBD) - Case Manager New 29400 55272 0 Form and Instruction TBD Category 4 Reunification Case Review and Staffing
Category 4 Reunification Case Review and Staffing (TBD) - Clinician New 14700 36750 0 Form and Instruction TBD Category 4 Reunification Case Review and Staffing
Family Finding and Mobility Mapping (TBD) - Case Manager New 35100 52650 0 Form and Instruction TBD Family Finding and Mobility Mapping
Family Finding and Mobility Mapping (TBD) - Child New 46800 70200 0 Form and Instruction TBD Family Finding and Mobility Mapping
Family Finding and Mobility Mapping (TBD) - Clinician New 17700 26550 0 Form and Instruction TBD Family Finding and Mobility Mapping
Individual Service Plan (S-13) - Case Manager New 32400 10692 0 Form and Instruction S-13 Individual Service Plan
Individual Service Plan (S-13) - Clinician New 32400 10692 0 Form and Instruction S-13 Individual Service Plan
Individual Service Plan (S-13) - Interpreter New 65100 21483 0 Form and Instruction S-13 Individual Service Plan
Initial Assessment (S-8) - Case Manager New 32400 10692 0 Form and Instruction S-8 Initial Assessment
Initial Assessment (S-8) - Child New 65000 21450 0 Form and Instruction S-8 Initial Assessment
Initial Assessment (S-8) - Clinician New 32400 10692 0 Form and Instruction S-8 Initial Assessment
Initial Assessment (S-8) - Interpreter New 65100 21483 0 Form and Instruction S-8 Initial Assessment
Sponsor Assessment (S-5) - Case Manager New 69000 69000 0 Form and Instruction S-5 Sponsor Assessment
Sponsor Assessment (S-5) - Interpreter New 69000 69000 0 Form and Instruction S-5 Sponsor Assessment
Sponsor Assessment (S-5) - Sponsor New 68900 68900 0 Form and Instruction S-5 Sponsor Assessment
Sponsor Assessment (S-5) - Unification Specialist New 68680 68680 0 Form and Instruction S-5 Sponsor Assessment
UAC Assessment (S-11) - Case Manager New 32400 72900 0 Form and Instruction S-11 UAC Assessment
UAC Assessment (S-11) - Child New 65000 146250 0 Form and Instruction S-11 UAC Assessment
UAC Assessment (S-11) - Clinician New 32400 72900 0 Form and Instruction S-11 UAC Assessment
UAC Assessment (S-11) - Interpreter New 65100 146475 0 Form and Instruction S-11 UAC Assessment
UAC Case Review (S-12) - Case Manager New 65100 32550 0 Form and Instruction S-12 UAC Case Review
UAC Case Review (S-12) - Clinician New 65100 32550 0 Form and Instruction S-12 UAC Case Review
UAC Case Review (S-12) - Unification Specialist New 65280 32640 0 Form and Instruction S-12 UAC Case Review
Total burden requested under this ICR: 1394640 1355586 0  
To view an IC, click on IC Title