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
Assessment for Risk (S-9) - Case Manager New 32400 24300 0 Form and Instruction S-9
Assessment for Risk (S-9) - Child New 65000 48750 0 Form and Instruction S-9
Assessment for Risk (S-9) - Clinician New 32400 24300 0 Form and Instruction S-9
Assessment for Risk (S-9) - Interpreter New 65100 48825 0 Form and Instruction S-9
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 (TBD) - Clinician New 14700 36750 0 Form and Instruction TBD
Family Finding and Mobility Mapping (TBD) - Case Manager New 35100 52650 0 Form and Instruction TBD
Family Finding and Mobility Mapping (TBD) - Child New 46800 70200 0 Form and Instruction TBD
Family Finding and Mobility Mapping (TBD) - Clinician New 17700 26550 0 Form and Instruction TBD
Individual Service Plan (S-13) - Case Manager New 32400 10692 0 Form and Instruction S-13
Individual Service Plan (S-13) - Clinician New 32400 10692 0 Form and Instruction S-13
Individual Service Plan (S-13) - Interpreter New 65100 21483 0 Form and Instruction S-13
Initial Assessment (S-8) - Case Manager New 32400 10692 0 Form and Instruction S-8
Initial Assessment (S-8) - Child New 65000 21450 0 Form and Instruction S-8
Initial Assessment (S-8) - Clinician New 32400 10692 0 Form and Instruction S-8
Initial Assessment (S-8) - Interpreter New 65100 21483 0 Form and Instruction S-8
Sponsor Assessment (S-5) - Case Manager New 69000 69000 0 Form and Instruction S-5
Sponsor Assessment (S-5) - Interpreter New 69000 69000 0 Form and Instruction S-5
Sponsor Assessment (S-5) - Sponsor New 68900 68900 0 Form and Instruction S-5
Sponsor Assessment (S-5) - Unification Specialist New 68680 68680 0 Form and Instruction S-5
UAC Assessment (S-11) - Case Manager New 32400 72900 0 Form and Instruction S-11
UAC Assessment (S-11) - Child New 65000 146250 0 Form and Instruction S-11
UAC Assessment (S-11) - Clinician New 32400 72900 0 Form and Instruction S-11
UAC Assessment (S-11) - Interpreter New 65100 146475 0 Form and Instruction S-11
UAC Case Review (S-12) - Case Manager New 65100 32550 0 Form and Instruction S-12
UAC Case Review (S-12) - Clinician New 65100 32550 0 Form and Instruction S-12
UAC Case Review (S-12) - Unification Specialist New 65280 32640 0 Form and Instruction S-12
Total burden requested under this ICR: 1394640 1355586 0  
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