Information Collection Request
Services for Unaccompanied Alien Children with Disabilities
ICR 202504-0970-003 · OMB 0970-0643 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0643 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form S-25 Individual 504 Service Plan (Form S-25) – Care Provider Case Manager |
Form and Instruction | New | Repair queued |
| Form S-25 Individual 504 Service Plan (Form S-25) – Child |
Form and Instruction | New | Repair queued |
 SSA Attachment A_0970-NEW_Disabilities_001_CLEAN + OGC_SH_ FINAL.docx |
Supplementary Document | Uploaded 2025-04-11 | Missing upstream |
| SSA_0970-NEW_Disabilities_001- OGC Updated_LD_bg_SH_FINAL.docx |
Supporting Statement A | Uploaded 2025-04-11 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0643 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | ORR - UAC Bureau |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |