OMB.report

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 201301-0970-001 · OMB 0970-0034 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ORR-3 Title ORR-3The Refugee Unaccompanied Minor Placement Report Form Modified Repair queued
Form ORR-4 Title ORR-4 Regugee and Entrant Unaccompanied Minor Progress Report Form Modified Available
Final ORR-4 Instructions 12.05.12.doc Supplementary Document Uploaded 2012-12-21 Available
Final ORR-3 Instructions 12.05.12.doc Supplementary Document Uploaded 2012-12-21 Repair queued
2012 Supporting Statement 121012.doc Supporting Statement A Uploaded 2012-12-21 Repair queued
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 201301-0970-001
Historical Active 201001-0970-001
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 05/08/2013
Retrieve Notice of Action (NOA) 01/02/2013
  Inventory as of this Action Requested Previously Approved
05/31/2016 36 Months From Approved 05/31/2013
2,910 0 1,890
2,959 0 1,417
0 0 0
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
  77 FR 153 08/08/2012
77 FR 74851 12/18/2012
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 2,910 1,890 0 1,020 0 0
Annual Time Burden (Hours) 2,959 1,417 0 1,542 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Changes in the instruments.
$0
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.
01/02/2013