Form M-9C Form M-9C Post-Release Services Home Observation

Updated April 2020 OMB 0970-#### [valid through MM/DD/YYYY]

PRS Home Observation

	Observation Notes
Before observing PRS visit: what needs are included in case worker notes
During visit: Are PRS providers being culturally and linguistically appropriate when connecting the child and sponsor to resources within their local community Are PRS providers being sensitive to the individual needs of the UAC?
What needs are discussed for the minor? Are the needs indicated in policy – are caseworkers addressing the needs based upon instruction in policy? (For example: does the minor have problems with substance abuse? If so, is the PRS provider assisting the youth with locating resources to help address the substance abuse problem?)
What needs are discussed with the sponsor?
How are resources disseminated?
Does the caseworker do a safety check with the UAC? (i.e. is abuse occurring? Does the UAC feel safe?) How and where is it conducted?
Does sponsor or minor indicate a change in needs?
Following the Visit:
Following the PRS visit How is progress/resources noted included in caseworker notes/the report? Is information about new and/or changing needs notated in the caseworker notes and the PRS report?

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR Monitoring Team staff to document their findings during the walkthrough portion of biennial site visits. Public reporting burden for this collection of information is estimated to average 0.5 hours per response (if the site visit is performed by a contractor monitor), including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of information please contact UACPolicy@acf.hhs.gov.