Information Collection Request

Unaccompanied Alien Children Bureau Administrative Activities

ICR 202510-0970-001 · OMB 0970-0547 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form A-5s Authorization for Release of Records - Spanish Form Unchanged Available
Form A-5 Authorization for Release of Records Form Unchanged Repair queued
Form A-5 Authorization for Release of Records (Form A-5) - Record keeping Form Unchanged Repair queued
Form Form A-1A Care Provider Facility Tour Request Form Unchanged Available
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 Unchanged Available
Form Form A-15 ORR Waiver Request (Form A-15) Form Unchanged Repair queued
Form A-14 Key Personnel Qualification Checklist and Attestation Form Modified Repair queued
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form Modified Repair queued
Form A-5s Authorization for Release of Records (Spanish) Form Unchanged Available
Form A-5 Authorization for Release of Records (English) Form Unchanged Available
Form A-5 Authorization for Release of Records (Form A-5) Form Unchanged Repair queued
Form A-4s Notice to Unaccompanied Alien Children for Class Counsel Visits - Spanish Form Unchanged Repair queued
Form A-4 Notice to Unaccompanied Alien Children for Class Counsel Visits Form Unchanged Repair queued
Form A-4 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form Unchanged Missing upstream
Form A-1A Care Provider Facility Tour Request Form Unchanged Available
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form Unchanged Repair queued
Nonsub Memo_0970-0547_Admin Activities_012_2025 10 20.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-10-20 Repair queued
Nonsub Memo_0970-0547_Admin Activities_012_2025 10 20.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-10-20 Missing upstream
SSA_0970-0547_Admin Activities _011_2025 04 17.docx Supporting Statement A Uploaded 2025-05-01 Repair queued
SSA_0970-0547_Admin Activities _011_2025 04 17.docx Supporting Statement A Uploaded 2025-05-01 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
249480 Authorization for Release of Records (Form A-5) - Record keeping Form UnchangedAuthorization for Release of Records - Spanish
249480 Authorization for Release of Records (Form A-5) - Record keeping Form UnchangedAuthorization for Release of Records
249480 Authorization for Release of Records (Form A-5) - Record keeping Form Unchanged
241082 Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form UnchangedCare Provider Facility Tour Request
241082 Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form Unchanged
241079 ORR Waiver Request (Form A-15) Form UnchangedORR Waiver Request
241079 ORR Waiver Request (Form A-15) Form Unchanged
241078 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form ModifiedKey Personnel Qualification Checklist and Attestation
241078 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form Modified
241072 Authorization for Release of Records (Form A-5) Form UnchangedAuthorization for Release of Records (Spanish)
241072 Authorization for Release of Records (Form A-5) Form UnchangedAuthorization for Release of Records (English)
241072 Authorization for Release of Records (Form A-5) Form Unchanged
241070 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form UnchangedNotice to Unaccompanied Alien Children for Class Counsel Visits - Spanish
241070 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form UnchangedNotice to Unaccompanied Alien Children for Class Counsel Visits
241070 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form Unchanged
241067 Care Provider Facility Tour Request (Form A-1A) Form UnchangedCare Provider Facility Tour Request
241067 Care Provider Facility Tour Request (Form A-1A) Form Unchanged
ICR Details
0970-0547 202510-0970-001
Active 202505-0970-002
HHS/ACF ORR - UAC Bureau
Unaccompanied Alien Children Bureau Administrative Activities
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/28/2025
Retrieve Notice of Action (NOA) 10/23/2025
  Inventory as of this Action Requested Previously Approved
06/30/2028 06/30/2028 06/30/2028
22,790 0 22,790
11,804 0 11,804
0 0 0

The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau provides care and custody for unaccompanied alien children until they can be safely released to a sponsor, repatriated to their home country, or obtain legal status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody. Generally, care provider facilities are State licensed (with the exception of those located in states unwilling to consider them for licensure and temporary influx care facilities) and must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management. ORR uses several forms directly related to the care of unaccompanied alien children. The forms in this information collection allow ORR to perform UAC Bureau-related administrative activities, such as facilitating stakeholder visits to care provider facilities; obtaining consent from children to share their case file information; and processing requests and waivers for the hiring of key and non-key personnel at care provider facilities. This request is for revisions to five existing forms in this collection and to remove seven forms, which will be transferred under new Office of Management and Budget (OMB) control numbers (separate requests will be submitted for the new control numbers). Details about the changes are described in section A15 of Supporting Statement A.

US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   US Code: 8 USC 1232 Name of Law: Trafficking 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

  89 FR 104187 12/20/2024
90 FR 22304 05/27/2025
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 22,790 22,790 0 0 0 0
Annual Time Burden (Hours) 11,804 11,804 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$11,421
No
    Yes
    No
No
No
No
No
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.
10/23/2025