Administration and Oversight of the Unaccompanied Children Program

Forms and Documents

Document Name	Status
Form A-9E Behavioral Note (Form A-9E) Form	Unchanged
Form A-9D Historical Disclosure (Form A-9D) Form	Unchanged
Form Form A-7 Notification of Concern (Form A-7) Form	Modified
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form	Unchanged
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form	Unchanged
Form Form A-15 ORR Waiver Request (Form A-15) Form	Unchanged
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form	Unchanged
Form A-10 Program Level Event (Form A-10) Form	Unchanged
Form A-9C Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form	Unchanged
Form A-9B Emergency Significant Incident Report (Form A-9B) Form	Unchanged
Form A-9A Child-Level Event (Form A-9A) Form	Unchanged
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) Form	Unchanged
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form	Unchanged
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form	Unchanged
Nonsub Memo Appendix A_0970-0547_Admin & Oversight_010_2024 09 16.xlsx Justification for No Material/Nonsubstantive Change	2024-09-16
Nonsub Memo_0970-0547_Admin & Oversight_010_2024 09 16.docx Justification for No Material/Nonsubstantive Change	2024-09-16
A-7 Notice of Concern_v8.0 DM CLEAN 07-24-2024.docx Justification for No Material/Nonsubstantive Change	2024-07-24
A-14 Key Personnel Non-Subs DM CLEAN v4 6.28.24.docx Justification for No Material/Nonsubstantive Change	2024-06-28
Nonsub Memo_0970-0547_Admin and Oversight_009_2024 06 05.docx Justification for No Material/Nonsubstantive Change	2024-06-05
Nonsub Memo_0970-0547_Admin and Oversight_005_2023 05 31.docx Justification for No Material/Nonsubstantive Change	2023-06-29
Nonsub Memo_0970-0547_Admin and Oversight_004_2023 04 11.docx Justification for No Material/Nonsubstantive Change	2023-04-11
Attachment A - Admin and Oversight (05.10.22) clean.docx Supplementary Document	2022-05-16
SSA_0970-0547_Admin and Oversight_005_2023 06 29 CLEAN.docx Supporting Statement A	2023-06-29

IC Document Collections

IC ID	Document Title	Status
260907	Behavioral Note (Form A-9E) Form	Unchanged
260906	Historical Disclosure (Form A-9D) Form	Unchanged
249481	Notification of Concern (Form A-7) Form	Modified
249480	Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form	Unchanged
241082	Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form	Unchanged
241079	ORR Waiver Request (Form A-15) Form	Unchanged
241078	Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form	Unchanged
241077	Program Level Event (Form A-10) Form	Unchanged
241075	Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form	Unchanged
241074	Emergency Significant Incident Report (Form A-9B) Form	Unchanged
241073	Child-Level Event (Form A-9A) Form	Unchanged
241072	Authorization for Release of Records (Form A-5 & A-5s) Form	Unchanged
241070	Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form	Unchanged
241067	Care Provider Facility Tour Request (Form A-1A) Form	Unchanged

ICR Details

OMB Control No: 0970-0547	ICR Reference No: 202409-0970-009
Status: Received in OIRA	Previous ICR Reference No: 202407-0970-009
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Administration and Oversight of the Unaccompanied Children Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/16/2024

	Requested	Previously Approved
Expiration Date	05/31/2025	05/31/2025
Responses	188,089	188,089
Time Burden (Hours)	173,941	173,941
Cost Burden (Dollars)	0	0

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Abstract: The “Administration and Oversight of the Unaccompanied Children Program” information collection contains 12 instruments that allow the Office of Refugee Resettlement (ORR) to facilitate stakeholder visits to care provider facilities; obtain consent from unaccompanied children to share their case file information; improve service delivery to unaccompanied children; 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 best interests of unaccompanied children. The collection was last approved by OMB on May 18, 2022 and the current expiration date is May 31, 2025. ORR is proposing changes to one form in this collection, the Notification of Concern (Form A-7). Form A-7 is currently formatted as a fillable PDF. ORR plans to digitize and incorporate the form into its new interactive, web-based application for Post-Release Services (PRS). As part of this process, ORR solicited feedback and completed testing activities, as approved under the “Feedback for Post-Release Service (PRS) Solution Development and Iteration” information collection (0970-0401), and has identified minor revisions to improve clarity, usability, and functionality of the digital form.

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Authorizing Statute(s): US Code: 8 USC 1232 Name of Law: Trafficking 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: 14

IC Title	Form No.	Form Name
Authorization for Release of Records (Form A-5 & A-5s)	A-5, A-5s	Authorization for Release of Records (English) ,   Authorization for Release of Records (Spanish)
Authorization for Release of Records (Form A-5 & A-5s) - Record keeping	A-5, A-5s	Authorization for Release of Records ,   Authorization for Release of Records - Spanish
Behavioral Note (Form A-9E)	A-9E	Behavioral Note
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
Child-Level Event (Form A-9A)	A-9A	Child-Level Event
Emergency Significant Incident Report (Form A-9B)	A-9B, A-9B	Emergency Significant Incident Report - UC Path Version ,   Emergency Significant Incident Report
Historical Disclosure (Form A-9D)	A-9D	Historical Disclosure
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	A-14	Key Personnel Qualification Checklist and Attestation
Non-Emergency Significant Incident Report and Addendum (Form A-9C)	A-9C, A-9C	Emergency Significant Incident Report Addendum - UC Path Version ,   Emergency Significant Incident Report Addendum - UC Portal Version
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, Form A-7	Notification of Concern ,   Notification of Concern Addendum
ORR Waiver Request (Form A-15)	Form A-15	ORR Waiver Request
Program Level Event (Form A-10)	A-10, A-10	Program-Level Event Report - UC Portal Version ,   Program-Level Event Report and Addendum - UC Path 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	188,089	188,089	0	0	0	0
Annual Time Burden (Hours)	173,941	173,941	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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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: 09/16/2024

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