Administration and Oversight of the Unaccompanied Children Program

Forms and Documents

Document Name	Status
Form Form A-7 Notification of Concern (Form A-7) Form	New
Form A-5 Authorization for Release of Records (Form A-5) - Record keeping Form	New
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form	Modified
Form Form A-15 ORR Waiver Request (Form A-15) Form	Modified
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form	Modified
Form A-10D Program Level Event (Form A-10D) Form	Modified
Form A-10C Significant Incident Report (Form A-10C) Form	Modified
Form A-10B Emergency Significant Incident Report Addendum (Form A-10B) Form	Modified
Form A-10A Emergency Significant Incident Report (Form A-10A) Form	Modified
Form A-9 Event (Form A-9) Form	Modified
Form A-5 Authorization for Release of Records (Form A-5) Form	Modified
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form	Modified
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form	Modified
Attachment A - Admin and Oversight (09.21.21) FINAL.docx Supplementary Document	2021-09-24
Supporting Statement - Admin and Oversight (09.21.21) FINAL.docx Supporting Statement A	2021-09-24

IC Document Collections

IC ID	Document Title	Status
249481	Notification of Concern (Form A-7) Form	New
249480	Authorization for Release of Records (Form A-5) - Record keeping Form	New
241082	Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form	Modified
241079	ORR Waiver Request (Form A-15) Form	Modified
241078	Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form	Modified
241077	Program Level Event (Form A-10D) Form	Modified
241076	Significant Incident Report (Form A-10C) Form	Modified
241075	Emergency Significant Incident Report Addendum (Form A-10B) Form	Modified
241074	Emergency Significant Incident Report (Form A-10A) Form	Modified
241073	Event (Form A-9) Form	Modified
241072	Authorization for Release of Records (Form A-5) Form	Modified
241070	Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form	Modified
241067	Care Provider Facility Tour Request (Form A-1A) Form	Modified

ICR Details

OMB Control No: 0970-0547	ICR Reference No: 202109-0970-014
Status: Received in OIRA	Previous ICR Reference No: 202105-0970-013
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Administration and Oversight of the Unaccompanied Children Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/27/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2024
Responses	180,529	124,940
Time Burden (Hours)	132,577	38,341
Cost Burden (Dollars)	0	0

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Abstract: These instruments allow ORR to facilitate stakeholder visits to care provider facilities; obtain consent from UC to share their case file information; improve service delivery to UC; and ensure that serious issues are elevated to ORR and that all incidents and the response to such incidents are documented and resolved in a way that protects the interests of UC. This request is for revisions to six forms currently approved under OMB #0970-0547, to add four new instruments, and to remove one currently approved instrument. Six instruments in this collection will be incorporated into ORR’s new case management system, UC Path. Details about the changes are described in section A15.

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Authorizing Statute(s): US Code: 8 USC 1232 Name of Law: rafficking Victim Protection Reauthorization Act of 2008
   US Code: 6 USC 279 Name of Law: Homeland Security Act of 2002
   PL: Pub.L. 113 - 4 1101(c) Name of Law: Violence Against Women Reauthorization Act of 2013
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 545	01/06/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 53319	09/27/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
Authorization for Release of Records (Form A-5)	A-5	Authorization for Release of Records
Authorization for Release of Records (Form A-5) - Record keeping	A-5	Authorization for Release of Records
Care Provider Facility Tour Request (Form A-1A)	A-1A	Care Provider Facility Tour Request
Care Provider Facility Tour Request (Form A-1A) - Record Keeping	Form A-1A	Care Provider Facility Tour Request
Emergency Significant Incident Report (Form A-10A)	A-10A, A-10A	Emergency Significant Incident Report - UC Path Version ,   Emergency SIR and Addendum - UC Portal Version
Emergency Significant Incident Report Addendum (Form A-10B)	A-10B, A-10B	Emergency Significant Incident Report Addendum - UC Path Version ,   Emergency Significant Incident Report Addendum - UC Portal Version
Event (Form A-9)	A-9	Event Report
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	A-14	Key Personnel Qualification Checklist and Attestation
Notice to UAC for Flores Visits (Forms A-4 & A-4s)	A-4s, A-4	Notice to UC for Flores Visits ,   Notice to UC for Flores Visits - Spanish
Notification of Concern (Form A-7)	Form A-7	Notification of Concern
ORR Waiver Request (Form A-15)	Form A-15	ORR Waiver Request
Program Level Event (Form A-10D)	A-10D, A-10D	Program-Level Event Report - UC Portal Version ,   Program-Level Event Report and Addendum - UC Path Version
Significant Incident Report (Form A-10C)	A-10C, A-10C	Significant Incident Report - UC Path Version ,   Significant Incident Report - UC Portal Version

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ICR Summary of Burden

	Total Request	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	180,529	124,940	0	51,589	4,000	0
Annual Time Burden (Hours)	132,577	38,341	0	93,236	1,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: ORR plans to revise 6 of the 8 instruments currently approved under OMB #0970-0547. Four of the revised instruments will be incorporated into ORR’s new case management system, UC Path. The other 2 revised instruments are and will remain PDF instruments. In addition, ORR plans to add 4 new instruments to this collection – 2 will be incorporated into UC Path and 2 will be in PDF forms. ORR also plans to remove one currently approved instrument from this collection. Finally, ORR plans to replace the term “unaccompanied alien child (UAC)” with “unaccompanied child (UC)” throughout the instruments in this collection. Note that the screenshots of UC Path instruments attached to this package do not reflect this change because it has not yet been developed in the system. However, the revision in terminology will be made before the system is launched.

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Annual Cost to Federal Government: $5,036,336

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/27/2021

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