View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Office of Refugee Resettlement (ORR) Care Provider Healthcare Delivery Report (HDR)	Agency IC Tracking Number:	ORR-UACB

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	ORR HDR	TAB A_ORR Care Provider Healthcare Delivery Report_Final_6.16.25.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 225	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	225	0	225	0	0	0
Annual IC Time Burden (Hours)	338	0	338	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Monitoring GenIC - ORR Care Provider HDR	Submission for Monitoring Generic _0970-0558_ORR Care Provider HDR_6.16.25.docx	06/16/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.