Services for Unaccompanied Alien Children with Disabilities

ICR 202504-0970-003

OMB: 0970-0643

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0643 can be found here:

2025-10-23 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form S-25 Individual 504 Service Plan (Form S-25) – Care Provider Case Manager Form and Instruction	New
Form S-25 Individual 504 Service Plan (Form S-25) – Child Form and Instruction	New
SSA Attachment A_0970-NEW_Disabilities_001_CLEAN + OGC_SH_ FINAL.docx Supplementary Document	2025-04-11
SSA_0970-NEW_Disabilities_001- OGC Updated_LD_bg_SH_FINAL.docx Supporting Statement A	2025-04-11

IC Document Collections

IC ID	Document Title	Status
274814	Individual 504 Service Plan (Form S-25) – Care Provider Case Manager Form and Instruction	New
274813	Individual 504 Service Plan (Form S-25) – Child Form and Instruction	New

ICR Details

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