OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Administration and Oversight of the Unaccompanied Alien Children Program

ICR 202004-0970-002 · OMB 0970-0547 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form A-12 Hotline Alert (Form A-12) Form New Repair queued
Form A-11 (Aggregate) UAC Satisfaction Survey Aggregate Data Form New Available
Form A-10F Sexual Abuse Significant Incident Report Addendum (Form A-10F) Form New Available
Form Form A-10E Sexual Abuse Significant Incident Report (Form A-10E) Form New Repair queued
Form A-10D Significant Incident Report Addendum (Form A-10D) Form New Repair queued
Form A-10C Significant Incident Report (Form A-10C) Form New Available
Form A-10B Emergency Significant Incident Report Addendum (Form A-10B) Form New Available
Form A-10A Emergency Significant Incident Report (Form A-10A) Form New Repair queued
Form A-9 Program Level Event (Form A-9) Form New Repair queued
Form A-5 Authorization for Release of Records (Form A-5) Form New Repair queued
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form New Available
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form New Repair queued
Supporting Statement for Admin and Oversight (03.31.20) v2_4.24.docx Supporting Statement A Uploaded 2020-04-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
241082 Hotline Alert (Form A-12) Form New
241081 UAC Satisfaction Survey Aggregate Data Form New
241080 UAC Satisfaction Survey (Form A-11 & A-11s) Other-Survey New
241079 Sexual Abuse Significant Incident Report Addendum (Form A-10F) Form New
241078 Sexual Abuse Significant Incident Report (Form A-10E) Form New
241077 Significant Incident Report Addendum (Form A-10D) Form New
241076 Significant Incident Report (Form A-10C) Form New
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form New
241074 Emergency Significant Incident Report (Form A-10A) Form New
241073 Program Level Event (Form A-9) Form New
241072 Authorization for Release of Records (Form A-5) Form New
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form New
241067 Care Provider Facility Tour Request (Form A-1A) Form New
ICR Details
0970-0547 202004-0970-002
Historical Active
HHS/ACF ORR
Administration and Oversight of the Unaccompanied Alien Children Program
Existing collection in use without an OMB Control Number   No
Emergency 04/17/2020
Approved with change 04/27/2020
Retrieve Notice of Action (NOA) 04/13/2020
  Inventory as of this Action Requested Previously Approved
10/31/2020 6 Months From Approved
198,015 0 0
63,561 0 0
0 0 0
These instruments allow ORR to facilitate stakeholder visits to care provider facilities; obtain consent from UAC to share their case file information; improve service delivery to UAC; 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 interests of UAC. This is a time sensitive request because many of these forms are already in use and must continue to be in use in order for the UAC Program to meet its statutory obligations.
This is a time sensitive request because many of these forms are already in use and must continue to be in use in order for the UAC Program to meet its statutory obligations.
US Code: 6 USC 279 Name of Law: Homeland Security Act of 2002
   US Code: 8 USC 1232 Name of Law: rafficking Victim Protection Reauthorization Act of 2008
   PL: Pub.L. 113 - 4 1101(c) Name of Law: Violence Against Women Reauthorization Act of 2013
  
None
Not associated with rulemaking
No
  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 198,015 0 0 198,015 0 0
Annual Time Burden (Hours) 63,561 0 0 63,561 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
ORR is reorganizing the instruments currently approved under OMB 0970-0498 into separate collections based on the purpose of the information collected. This collection includes one instrument from OMB 0970-0498 that is related to administration and oversight tasks for the UAC Program, the Care Provider Facility Tour Request. This form was changed from a Word document to a fillable PDF and the formatting has been streamlined for ease of use. This collection also includes several other instruments that fall under this information collection category that are subject to PRA and require approval by OMB.
$4,795,610
No
    Yes
    No
No
No
No
Uncollected
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.
04/13/2020