Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Category 4 Discharge Plan (Form R-9) Modified 3300 6600 0 Form and Instruction R-9
Discharge Notification (Form R-2) - Current UAC Portal Modified 146100 24837 0 Form and Instruction R-2
Program Exit Processing (Form R-10) - Modernized UAC Portal Modified 146100 36525 0 Form and Instruction R-10
Release Request (Form R-4) - Current UAC Portal - Care Provider Modified 129000 54180 0 Form and Instruction R-4
Release Request (Form R-4) - Current UAC Portal - Case Coordinator Modified 128520 42412 0 Form and Instruction R-4
Release Request (Form R-4) - Modernized UAC Portal - Care Provider Modified 129000 74820 0 Form and Instruction R-4
Release Request (Form R-4) - Modernized UAC Portal - Case Coordinator Modified 128520 64260 0 Form and Instruction R-4
Safety and Well-Being Call (R-6) - Current Excel - Child Removed 0 0 0 Form and Instruction R-6
Safety and Well-Being Call (R-6) - Current Excel - PRS Provider Removed 0 0 0 Form and Instruction R-6
Safety and Well-Being Call (R-6) - Current Excel - Sponsor Removed 0 0 0 Form and Instruction R-6
Safety and Well-Being Call (R-6) - Modernized UC Portal - Child Removed 0 0 0 Form and Instruction R-6
Safety and Well-Being Call (R-6) - Modernized UC Portal - PRS Provider Removed 0 0 0 Form and Instruction R-6
Safety and Well-Being Call (R-6) - Modernized UC Portal - Sponsor Removed 0 0 0 Form and Instruction R-6
Verification of Release (Form R-1) Unchanged 128400 21828 0 Form and Instruction R-1
Total burden requested under this ICR: 938940 325462 0  
To view an IC, click on IC Title