View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0970-0543	ICR Reference No: 202008-0970-014
Status: Historical Active	Previous ICR Reference No: 202003-0970-011
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/22/2020
	Date Received in OIRA: 08/31/2020
Terms of Clearance: Limiting approval timelines for COVID-specific items; apply for an extension in 1 year if the public health emergency continues and include any updated symptom checklists and procedures

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	09/30/2020
Responses	3,900,000	0	3,900,000
Time Burden (Hours)	128,700	0	128,700
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $4,360

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

Agency Contact: Camille Wilson 202 565-0162 camille.wilson@acf.hhs.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.