Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Home Study Assessment (Form S-6) – Home Study Providers New 4920 4920 0 Form and Instruction A-6 Home Study Assessment
Home Study Referral (Form S-26)- Care Provider Case Managers New 65100 32550 0 Form and Instruction Form S-26 Home Study Referral
Notification of Concern (Form A-7) - Care Provider Case Manager New 2400 792 0 Form and Instruction A-7 Notification of Concern
Form and Instruction A-7 (Addendum) Notification of Concern - Addendum
Notification of Concern (Form A-7) - ORR NCC Call Specialist New 2418 798 0 Form and Instruction A-7 Notification of Concern
Form and Instruction A-7 (Addendum) Notification of Concern - Addendum
Notification of Concern (Form A-7) – Home Study/ Post-Release Services Caseworker New 2460 812 0 Form and Instruction A-7 Notification of Concern
Form and Instruction A-7 (Addendum) Notification of Concern - Addendum
Post-Release Services Referral (Form S-19) - Care Provider Case Managers New 65100 32550 0 Form and Instruction A-19 Post-Release Services Referral
Form and Instruction A-19 (Appendix) Post-Release Services Referral - Appendix
Post-Release Services Report (Form S-22) – Post-Release Service Caseworkers New 163320 176385 0 Form and Instruction Form S-22 Post-Release Services Report
Virtual Check-in Questionnaire (Form R-6) - Child New 195000 48750 0 Form and Instruction R-6 Virtual Check-in Questionnaire
Form and Instruction R-6 Virtual Check-in Questionnaire
Virtual Check-in Questionnaire (Form R-6) - Sponsor New 195000 48750 0 Form and Instruction R-6 Virtual Check-in Questionnaire
Form and Instruction R-6 Virtual Check-in Questionnaire
Virtual Check-in Questionnaire (Form R-6) – Post-Release Service Provider New 195000 113100 0 Form and Instruction R-6 Virtual Check-in Questionnaire
Form and Instruction R-6 Virtual Check-in Questionnaire
Total burden requested under this ICR: 890718 459407 0  
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