Unaccompanied Children Office of the OMBuds Report of a Concern

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
UCOO Report of a Concern Intake Form.docx Other-
SSA - Formative for ACF Program Support - UC Ombuds_8.8.24.docx SSA - Unaccompanied Children Office of the Ombuds Report of a Concern IC Document

Information Collection (IC) Details

IC Title:	Unaccompanied Children Office of the Ombuds Report of a Concern	Agency IC Tracking Number:	UC Ombuds

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-			UCOO Report of a Concern Intake Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Unaccompanied Children Office of the Ombuds Report of a Concern	SSA - Formative for ACF Program Support - UC Ombuds_8.8.24.docx	08/09/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.