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Federal forms, ICRs, and supporting documents

Information Collection Request

ORR-3 Refugee and Entrant Unaccompanied Minor Placement Report /ORR-4 Refugee and Entrant Unaccompanied Minor Placement Report

ICR 201001-0970-001 · OMB 0970-0034 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ORR-3 Title ORR-3The Refugee Unaccompanied Minor Placement Report Form Modified Available
Form ORR-4 Title ORR-4 Regugee and Entrant Unaccompanied Minor Progress Report Form Modified Repair queued
ORR ACF Response to Comments.doc Supplementary Document Uploaded 2010-04-09 Repair queued
Final ORR-4 Form Reporting Instructions 12-23-09.doc Supplementary Document Uploaded 2010-01-05 Repair queued
Final ORR-3 Form Reporting Instructions 12-23-09.doc Supplementary Document Uploaded 2010-01-05 Available
Final Supporting Statement Request Package.Rev 1-5-10.doc Supporting Statement A Uploaded 2010-01-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
9806 Title ORR-3The Refugee Unaccompanied Minor Placement Report Form Modified
46534 Title ORR-4 Regugee and Entrant Unaccompanied Minor Progress Report Form Modified
ICR Details
0970-0034 201001-0970-001
Historical Active 200612-0970-007
HHS/ACF
ORR-3 Refugee and Entrant Unaccompanied Minor Placement Report /ORR-4 Refugee and Entrant Unaccompanied Minor Placement Report
Revision of a currently approved collection   No
Regular
Approved without change 04/20/2010
Retrieve Notice of Action (NOA) 01/27/2010
  Inventory as of this Action Requested Previously Approved
04/30/2013 36 Months From Approved 04/30/2010
1,890 0 1,125
1,417 0 320
0 0 6,469
The placement form is submitted by the local agency upon initial placement of the child and whenever there is a change in the child's status, including termination from the program. The progress report is required annually to indicate the child's progress towards goals in the child's case plan.
US Code: 8 USC IV Name of Law: Refugee Act of 1980
  
None
Not associated with rulemaking
  74 FR 42675 08/24/2009
75 FR 152 01/04/2010
Yes
  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 1,890 1,125 0 0 765 0
Annual Time Burden (Hours) 1,417 320 0 141 956 0
Annual Cost Burden (Dollars) 0 6,469 0 0 -6,469 0
Yes
Miscellaneous Actions
No
There are two adjustments: 1) the number or unaccompanied refugee minors has increased, and 2) the cost burden has been corrected to correct an error in methodology. Also, a program change occurred with both the ORR-3 and ORR-4 in that both instruments were revised to collect more data and therefore an increase burden per response.
$29,768
No
No
Uncollected
Uncollected
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.
01/27/2010