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Federal forms, ICRs, and supporting documents

Information Collection Request

COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors

ICR 202003-0970-011 · OMB 0970-0543 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Supporting Statements with OMB Instructions UAC COVID19 Survey_Final.docx Supporting Statement A Uploaded 2020-03-20 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
240791 Unaccompanied Alien Children – Coronavirus (COVID-19) Risk Questionnaire Other-Questionnaire New
ICR Details
0970-0543 202003-0970-011
Historical Active
HHS/ACF ORR
COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors
New collection (Request for a new OMB Control Number)   No
Emergency 03/20/2020
Approved without change 03/20/2020
Retrieve Notice of Action (NOA) 03/20/2020
  Inventory as of this Action Requested Previously Approved
09/30/2020 6 Months From Approved
3,900,000 0 0
128,700 0 0
0 0 0
The emergence of the COVID-19 infectious disease pandemic has necessitated action to help ensure the unaccompanied alien children and program staff health and safety within the Unaccompanied Alien Children (UAC) Program. The COVID-19 risk questionnaire asks participants whether or not they display COVID-19 symptoms, whether or not they have had close contact with individuals known to test positive for COVID-19, and whether or not they have travel history to areas of sustained transmission of COVID-19. The information collected by conducting this survey at UAC programs will help ensure the health and safety of children in our care and our program staff by helping to identify and reduce potential exposure to COVID-19. Due to the time sensitivity of collecting the information in the proposed COVID-19 risk questionnaire, we are requesting from OMB expedited review and approval through special processing. A request for review under normal procedures will be submitted within 180 days of the approval for this request.
Due to the time sensitivity of collecting the information in the proposed COVID-19 risk questionnaire, we are requesting from OMB expedited review and approval through special processing. A request for review under normal procedures will be submitted within 180 days of the approval for this request.
US Code: 6 USC 279(b)(1)(B);(E) Name of Law: Homeland Security Act of 2002
  
None
Not associated with rulemaking
No
1
IC Title Form No. Form Name
Unaccompanied Alien Children – Coronavirus (COVID-19) Risk Questionnaire
  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 3,900,000 0 0 3,900,000 0 0
Annual Time Burden (Hours) 128,700 0 0 128,700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$4,360
No
    No
    No
No
No
No
Yes
Molly Buck 202 205-4724 [email protected]
  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.
03/20/2020