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Foster Care Client Questionnaire (M-12C) - Respondents
Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities
OMB: 0970-0564
IC ID: 245616
OMB.report
HHS/ACF
OMB 0970-0564
ICR 202403-0970-014
IC 245616
( )
Documents and Forms
Document Name
Document Type
Form Form M-12C
Foster Care Client Questionnaire (M-12C) - Respondents
Form and Instruction
Form Form M-12C
Foster Care Client Questionnaire (M-12C) - Respondents
Form and Instruction
Form M-12C FC Client Questionnaire
LTFC Client Questionnaire (Form M-12C).docx
Form and Instruction
Form M-12C FC Client Questionnaire
LTFC Client Questionnaire (Form M-12C).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Foster Care Client Questionnaire (M-12C) - Respondents
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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 M-12C
FC Client Questionnaire
LTFC Client Questionnaire (Form M-12C).docx
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:
ORR Unaccompanied Refugee Minors Records
FR Citation:
81 FR 46682
Number of Respondents:
88
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
88
0
0
0
0
88
Annual IC Time Burden (Hours)
44
0
0
0
0
44
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.