Information Collection Request

Administration and Oversight of the Unaccompanied Children Program

ICR 202304-0970-003 · OMB 0970-0547 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0547 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form Form A-7 Notification of Concern (Form A-7)	Form	Modified	Repair queued
Form Form A-7 Notification of Concern (Form A-7)	Form	Modified	Repair queued
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping	Form	Unchanged	Repair queued
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping	Form	Unchanged	Repair queued
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping	Form	Unchanged	Repair queued
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping	Form	Unchanged	Repair queued
Form Form A-15 ORR Waiver Request (Form A-15)	Form	Unchanged	Available
Form Form A-15 ORR Waiver Request (Form A-15)	Form	Unchanged	Repair queued
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	Form	Unchanged	Repair queued
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	Form	Unchanged	Repair queued
Form A-10D Program Level Event (Form A-10D)	Form	Unchanged	Available
Form A-10D Program Level Event (Form A-10D)	Form	Unchanged	Repair queued
Form A-10C Significant Incident Report (Form A-10C)	Form	Unchanged	Repair queued
Form A-10C Significant Incident Report (Form A-10C)	Form	Unchanged	Repair queued
Form A-10B Emergency Significant Incident Report Addendum (Form A-10B)	Form	Unchanged	Repair queued
Form A-10B Emergency Significant Incident Report Addendum (Form A-10B)	Form	Unchanged	Missing upstream
Form A-10A Emergency Significant Incident Report (Form A-10A)	Form	Unchanged	Available
Form A-10A Emergency Significant Incident Report (Form A-10A)	Form	Unchanged	Repair queued
Form A-9 Event (Form A-9)	Form	Unchanged	Available
Form A-9 Event (Form A-9)	Form	Unchanged	Repair queued
Form A-5 Authorization for Release of Records (Form A-5 & A-5s)	Form	Unchanged	Repair queued
Form A-5 Authorization for Release of Records (Form A-5 & A-5s)	Form	Unchanged	Repair queued
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s)	Form	Unchanged	Available
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s)	Form	Unchanged	Repair queued
Form A-1A Care Provider Facility Tour Request (Form A-1A)	Form	Unchanged	Repair queued
Form A-1A Care Provider Facility Tour Request (Form A-1A)	Form	Unchanged	Repair queued
Nonsub Memo_0970-0547_Admin and Oversight_004_2023 04 11.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-11	Repair queued
Nonsub Memo_0970-0547_Admin and Oversight_004_2023 04 11.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-11	Repair queued
Attachment A - Admin and Oversight (05.10.22) clean.docx	Supplementary Document	Uploaded 2022-05-16	Repair queued
Attachment A - Admin and Oversight (05.10.22) clean.docx	Supplementary Document	Uploaded 2022-05-16	Repair queued
Supporting Statement - Admin and Oversight (05.10.22) clean.docx	Supporting Statement A	Uploaded 2022-05-16	Repair queued
Supporting Statement - Admin and Oversight (05.10.22) clean.docx	Supporting Statement A	Uploaded 2022-05-16	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
249481	Notification of Concern (Form A-7)	Form	Modified
249481	Notification of Concern (Form A-7)	Form	Modified
249480	Authorization for Release of Records (Form A-5 & A-5s) - Record keeping	Form	Unchanged
249480	Authorization for Release of Records (Form A-5 & A-5s) - Record keeping	Form	Unchanged
241082	Care Provider Facility Tour Request (Form A-1A) - Record Keeping	Form	Unchanged
241082	Care Provider Facility Tour Request (Form A-1A) - Record Keeping	Form	Unchanged
241079	ORR Waiver Request (Form A-15)	Form	Unchanged
241079	ORR Waiver Request (Form A-15)	Form	Unchanged
241078	Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	Form	Unchanged
241078	Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	Form	Unchanged
241077	Program Level Event (Form A-10D)	Form	Unchanged
241077	Program Level Event (Form A-10D)	Form	Unchanged
241076	Significant Incident Report (Form A-10C)	Form	Unchanged
241076	Significant Incident Report (Form A-10C)	Form	Unchanged
241075	Emergency Significant Incident Report Addendum (Form A-10B)	Form	Unchanged
241075	Emergency Significant Incident Report Addendum (Form A-10B)	Form	Unchanged
241074	Emergency Significant Incident Report (Form A-10A)	Form	Unchanged
241074	Emergency Significant Incident Report (Form A-10A)	Form	Unchanged
241073	Event (Form A-9)	Form	Unchanged
241073	Event (Form A-9)	Form	Unchanged
241072	Authorization for Release of Records (Form A-5 & A-5s)	Form	Unchanged
241072	Authorization for Release of Records (Form A-5 & A-5s)	Form	Unchanged
241070	Notice to UAC for Flores Visits (Forms A-4 & A-4s)	Form	Unchanged
241070	Notice to UAC for Flores Visits (Forms A-4 & A-4s)	Form	Unchanged
241067	Care Provider Facility Tour Request (Form A-1A)	Form	Unchanged
241067	Care Provider Facility Tour Request (Form A-1A)	Form	Unchanged

ICR Details

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0547
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202109-0970-014
Agency Tracking No	ORR
Date Submitted to OIRA	2023-04-11
Requested Expiration Date	1969-12-31