OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Information Collection and record keeping for the timely replacement and release of UC in ORR Care

ICR 201606-0970-005 · OMB 0970-0498 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Standard Shelter Tour Request Form and Instruction New Repair queued
Form 1 Withdrawl of Application or Declination of Placement Form Form and Instruction New Available
Form 1 URM Application Form and Instruction New Repair queued
Form 1 Legal Service Provider List for UC Form and Instruction New Repair queued
Form 1 Notice of Rights and Provision of Services Handout Form and Instruction New Available
Form 1 Child Advocate Referral and Appointment Form Form and Instruction New Available
Form 1 Verification of Release Form and Instruction New Repair queued
Form 1 Discharge Notification Form and Instruction New Repair queued
Form 1 Release Request Form and Instruction New Repair queued
Form 1 Care Provider Family Reunification Check List Form and Instruction New Available
Form 1 Notice of Transfer to ICE Chief Counsel and Change of Address Form and Instruction New Available
Form 1 Travel Request Form for UC Long Term Foster Care Form and Instruction New Repair queued
Form 1 Long Term Foster Care Placement Memo Form and Instruction New Repair queued
Form 1 Transfere Request and Tracking Form Form and Instruction New Available
Form 1 New Sponsor Form Form and Instruction New Repair queued
Form 1 UC Case Review Form Form and Instruction New Repair queued
Form 1 Individual Service Plan Form and Instruction New Repair queued
Form 1 UC Assessment Form and Instruction New Repair queued
Form 1 Initial Intakes Form Form and Instruction New Repair queued
Form 1 Notice of Placement in Secure or Staff Secure Facility Form and Instruction New Repair queued
Form 1 Placement Authorization Form Form and Instruction New Repair queued
Form 1 Further Assessment Swift Track (FAST) Placement Tool Form and Instruction New Available
Form 1 UC Portal Capacity Report Form and Instruction New Repair queued
SUPSTAT_HHS_ORR-0330.doc Supporting Statement A Uploaded 2016-07-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
222326 Standard Shelter Tour Request Form and Instruction New
222325 Withdrawl of Application or Declination of Placement Form Form and Instruction New
222324 URM Application Form and Instruction New
222323 Legal Service Provider List for UC Form and Instruction New
222322 Notice of Rights and Provision of Services Handout Form and Instruction New
222321 Child Advocate Referral and Appointment Form Form and Instruction New
222320 Verification of Release Form and Instruction New
222319 Discharge Notification Form and Instruction New
222318 Release Request Form and Instruction New
222317 Care Provider Family Reunification Check List Form and Instruction New
222316 Notice of Transfer to ICE Chief Counsel and Change of Address Form and Instruction New
222315 Travel Request Form for UC Long Term Foster Care Form and Instruction New
222314 Long Term Foster Care Placement Memo Form and Instruction New
222313 Transfere Request and Tracking Form Form and Instruction New
222312 New Sponsor Form Form and Instruction New
222311 UC Case Review Form Form and Instruction New
222310 Individual Service Plan Form and Instruction New
222307 UC Assessment Form and Instruction New
222306 Initial Intakes Form Form and Instruction New
222302 Notice of Placement in Secure or Staff Secure Facility Form and Instruction New
222300 Placement Authorization Form Form and Instruction New
222299 Further Assessment Swift Track (FAST) Placement Tool Form and Instruction New
222298 UC Portal Capacity Report Form and Instruction New
ICR Details
0970-0498 201606-0970-005
Historical Active
HHS/ACF ORR
Information Collection and record keeping for the timely replacement and release of UC in ORR Care
Existing collection in use without an OMB Control Number   No
Regular
Approved with change 07/06/2017
Retrieve Notice of Action (NOA) 07/08/2016
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved
518,994 0 0
209,297 0 0
0 0 0
The ORR Unaccompanied Children Program provides placement, care, custody and mandated services for UC until such time as they can be successfully released to a sponsor, repatriated to their home country, or obtain legal status. Through cooperative agreements and contracts, ORR funds residential care providers that provide temporary housing and other services to unaccompanied children in ORR custody. These care provider facilities are State licensed and must meet ORR requirements to ensure a high level quality of care. They provide a continuum of care for children, including placements in ORR foster care, group homes, shelter, staff secure, secure, and residential treatment centers. The care providers provide children with classroom education, health care, socialization/recreation, vocational training, mental health services, access to legal services, and case management. The purpose of this information collection is allow grantees to collect information related to the provision of these services and to expeditiously provide for the timely release of unaccompanied children. The data collection also allows ORR to track grant project performance and the success of the program. In order to monitor performance and ensure compliance with statutory and regulatory requirements and standards, ORR: 1) Collects information from its network of care providers to show evidence that care providers’ standards of care, family reunification methods, internal policies and procedures, personnel, training, and other components meet minimum standards and ensure the safety and security of children in ORR care. 2) Requires care providers to track the timely release process and delivery of services for individual children and youth to ensure compliance and allow ORR to conduct formal monitoring and performance review.
PL: Pub.L. 107 - 296 462 Name of Law: The Homeland Security Act of 2002
  
None
Not associated with rulemaking
  80 FR 57191 09/22/2015
81 FR 39646 06/17/2016
No
23
IC Title Form No. Form Name
UC Assessment 1 UC Assessment
UC Case Review Form 1 UC Case Review
Initial Intakes Form 1 Initital Intakes Assessment
New Sponsor Form 1 New Sponsor Form
Long Term Foster Care Placement Memo 1 Long Term Foster Care Placement Memo
Release Request 1 Release Request
Verification of Release 1 Verification of Release
Legal Service Provider List for UC 1 Legal Service Provider List for UC
Further Assessment Swift Track (FAST) Placement Tool 1 Further Assessment Swift Track (FAST) Placement Tool
Individual Service Plan 1 Individual Service Plan
Notice of Placement in Secure or Staff Secure Facility 1 Notice of Placement in Secure or Staff Secure
Placement Authorization Form 1 Placement Authorization Form
Travel Request Form for UC Long Term Foster Care 1 Travel Request Form for UC Long Term Foster Care
Discharge Notification 1 Discharge Notification
Withdrawl of Application or Declination of Placement Form 1 URM Withdrawal or Declination of Particiapation
UC Portal Capacity Report 1 UC Portal Capacity Report
Transfere Request and Tracking Form 1 Transfer Request and Tracking Form
Care Provider Family Reunification Check List 1 Care Provider Family Reunification Checklist
Notice of Transfer to ICE Chief Counsel and Change of Address 1 Notice of Transfer to ICE Chief Counsel and Change of Address
Child Advocate Referral and Appointment Form 1 Child Advocate Recommendation and Appointment Form
URM Application 1 URM Application
Notice of Rights and Provision of Services Handout 1 Notice of Rights and Provision of Services Handout
Standard Shelter Tour Request 1 Standard Shelter Tour Request
  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 518,994 0 0 518,994 0 0
Annual Time Burden (Hours) 209,297 0 0 209,297 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new clearance.
$445,050
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.
07/08/2016