Request for Specific Consent to Juvenile Court Jurisdiction

ICR 201403-0970-005

OMB: 0970-0385

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0970-0385 201403-0970-005
Historical Active 201011-0970-003
HHS/ACF ACF\ORR
Request for Specific Consent to Juvenile Court Jurisdiction
Extension without change of a currently approved collection   No
Regular
Approved without change 05/02/2014
Retrieve Notice of Action (NOA) 03/28/2014
  Inventory as of this Action Requested Previously Approved
05/31/2017 36 Months From Approved 05/31/2014
30 0 72
10 0 24
221 0 0

The collection of this information is needed so that ACF/ORR can recieve offiical notification by attorneys and representatives of UAC of a plannned SIJ Status action in a state court which may result in a determinination by the state court that the UAC in ORR custody will be subject to the jurisdiction of the state juvenile court. The information collection asks for the name and contact information of the UAC's attorney or representative; the UAC's biographical information; and brief explanation of why the attorney or representative is requesting that a UAC be placed in the jurisdiction of the state juvenile court. The attorney or representative is also required to attach with the request a copy a G-28, EOIR-28 or EOIR-29, or other form of authorization to act on behalf of the unaccompanied alien child.

US Code: 6 USC 279 Name of Law: William Wilberforce
  
None

Not associated with rulemaking

  79 FR 3596 01/22/2014
79 FR 17548 03/28/2014
No

1
IC Title Form No. Form Name
Request for Specific Consent to Junenile Court Jurisdiction 1 Request for Specific Consent

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 72 0 -42 0 0
Annual Time Burden (Hours) 10 24 0 -14 0 0
Annual Cost Burden (Dollars) 221 0 0 221 0 0
No
Yes
Miscellaneous Actions
Burden reduced since there were fewer respondents.

$210
No
No
No
No
No
Uncollected
Robert Sargis 2026907275

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/28/2014


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