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Legal Service Provider List for UC in ORR Care (Form LRG-5/5s)
Legal Services for Unaccompanied Children
OMB: 0970-0565
IC ID: 245635
OMB.report
HHS/ACF
OMB 0970-0565
ICR 202108-0970-017
IC 245635
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0565 can be found here:
2024-10-24 - Revision of a currently approved collection
2024-06-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form Form LRG-5
Legal Service Provider List for UC in ORR Care (Form LRG-5/5s)
Form and Instruction
Form LRG-5 Legal Service Provider List - English
Legal Service Provider List - English (Form LRG-5).pdf
Form and Instruction
Form LRG-5 Legal Service Provider List - English
Legal Service Provider List - English (Form LRG-5).pdf
Form and Instruction
Form LRG-5s Legal Service Provider List - Spanish
Legal Service Provider List - Spanish (Form LRG-5s).pdf
Form and Instruction
Form LRG-5s Legal Service Provider List - Spanish
Legal Service Provider List - Spanish (Form LRG-5s).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Legal Service Provider List for UC in ORR Care (Form LRG-5/5s)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form LRG-5
Legal Service Provider List - English
Legal Service Provider List - English (Form LRG-5).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Form LRG-5s
Legal Service Provider List - Spanish
Legal Service Provider List - Spanish (Form LRG-5s).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
216
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
120,096
0
0
0
0
120,096
Annual IC Time Burden (Hours)
30,024
0
0
0
0
30,024
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.