ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - State Agencies

Unaccompanied Refugee Minors Program: ORR-3 Placement Report and ORR-4 Outcomes Report

Documents and Forms

Document Name Document Type
Form ORR-4 ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - State Agencies Form
ORR-4 Instructions_rev.docx Instruction
ORR-4 Instructions_rev.docx Instruction
ORR-4 URM Outcomes Report ORR-4 Report Form_rev.xlsx Form
ORR-4 URM Outcomes Report ORR-4 Report Form_rev.xlsx Form
Final ORR-4 Instructions w U status recipeient 052313.docx ORR-4 Instructions IC Document
Final ORR-4 Instructions w U status recipeient 052313.docx ORR-4 Instructions IC Document

Information Collection (IC) Details

IC Title:	ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - State Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 400

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORR-4	URM Outcomes Report	ORR-4 Report Form_rev.xlsx		Yes	Yes	Fillable Fileable
Instruction			ORR-4 Instructions_rev.docx		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ORR Internet Refugee Arrivals Data System (iRADS)	FR Citation: 81 FR 46686

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,410	1,410
Annual IC Time Burden (Hours)	705	705
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ORR-4 Instructions	Final ORR-4 Instructions w U status recipeient 052313.docx	06/06/2013

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