Information Collection Request

Services for Unaccompanied Alien Children with Disabilities

ICR 202603-0970-010 · OMB 0970-0643 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form S-25 (Spanish) Individualized Section 504 Service Plan - Spanish Form and Instruction Modified Available
Form S-25 Individual 504 Service Plan Form and Instruction Modified Available
Form S-25 - Spanish Individual 504 Service Plan (Spanish) Form and Instruction Modified Repair queued
Form S-25 Individual 504 Service Plan Form and Instruction Modified Available
S-25 (SPA) Individualized Section 504 Service Plan_v2_Spanish_CLEAN (03.13.26).docx Justification for No Material/Nonsubstantive Change Uploaded 2026-03-19 Available
Nonsub Memo_0970-0643_Disabilities_002_DRAFT (10.14.25).docx Justification for No Material/Nonsubstantive Change Uploaded 2025-10-28 Available
Attachment A - Individualized Section 504 Service Plan (Form S-25) Appendix Crosswalk (10.14.25).xlsx Supplementary Document Uploaded 2025-10-15 Available
Individualized Section 504 Service Plan (Form S-25) Appendix (aka Disabilities Diagnosis Report) (10.14.25).docx Supplementary Document Uploaded 2025-10-15 Repair queued
SSA Attachment A_0970-NEW_Disabilities_001_CLEAN + OGC_SH_ FINAL.docx Supplementary Document Uploaded 2025-04-11 Repair queued
SSA_0970-0643_Disabilities_10.15.25 CLEAN.docx Supporting Statement A Uploaded 2025-10-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
274814 Individual 504 Service Plan (Form S-25) – Care Provider Case Manager Form and Instruction ModifiedIndividualized Section 504 Service Plan - Spanish
274814 Individual 504 Service Plan (Form S-25) – Care Provider Case Manager Form and Instruction ModifiedIndividual 504 Service Plan
274814 Individual 504 Service Plan (Form S-25) – Care Provider Case Manager Form and Instruction Modified
274813 Individual 504 Service Plan (Form S-25) – Child Form and Instruction ModifiedIndividual 504 Service Plan (Spanish)
274813 Individual 504 Service Plan (Form S-25) – Child Form and Instruction ModifiedIndividual 504 Service Plan
274813 Individual 504 Service Plan (Form S-25) – Child Form and Instruction Modified
ICR Details
0970-0643 202603-0970-010
Active 202509-0970-007
HHS/ACF ORR - UAC Bureau
Services for Unaccompanied Alien Children with Disabilities
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/23/2026
Retrieve Notice of Action (NOA) 03/20/2026
  Inventory as of this Action Requested Previously Approved
06/30/2028 06/30/2028 06/30/2028
4,100 0 4,100
10,300 0 10,300
0 0 0

The Services for Unaccompanied Alien Children with Disabilities information collection contains one (1) instrument that allow the Office of Refugee Resettlement (ORR) to provide individualized care to children identified as having a disability. The collection was last approved by OMB on June 11, 2025 and the current expiration date is June 30, 2028. 1.ORR proposes updating the dropdown options for the “Sponsor Category” field to align with recent policy changes (see UAC Policy Guide Section 2.2.1 Identification of Qualified Sponsors). 2.To assist care providers in complying with the regulatory requirements found in 45 CFR 410.1306 Language Access Services, ORR proposes translating the form into Spanish.

US Code: 8 USC 1232 Name of Law: William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
   US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
  
None

Not associated with rulemaking

  89 FR 60428 07/25/2024
90 FR 17823 04/29/2025
Yes

  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 4,100 4,100 0 0 0 0
Annual Time Burden (Hours) 10,300 10,300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$577,249
No
    Yes
    Yes
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.
03/20/2026