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OMB Control No: 0970-0543	ICR Reference No: 202109-0970-006
Status: Historical Active	Previous ICR Reference No: 202008-0970-014
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: COVID-19 Screening Tool for Unaccompanied 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: Emergency	Approval Requested By: 09/14/2021
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2021
	Date Received in OIRA: 09/08/2021
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	03/31/2022	6 Months From Approved	09/30/2021
Responses	3,900,000	0	3,900,000
Time Burden (Hours)	128,700	0	128,700
Cost Burden (Dollars)	0	0	0

Abstract: The emergence of the COVID-19 infectious disease pandemic necessitated action to help ensure unaccompanied children and program staff health and safety within ORR’s UC Program. The Office of Management and Budget (OMB) approved the current COVID-19 screening tool for UC program staff and visitors on September 20, 2020 for one year with the following 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. The public health emergency related to COVID-19 has continued so at this time, ACF is requesting an extension of this information collection in order to continue to collect vital information in protecting the health and safety of UC and program staff. There are no changes proposed to the information collection.

Emergency Justfication: This information collection request is for a short survey to assess the risk of COVID-19 among staff and visitors at Unaccompanied Children (UC) care provider facilities. The information from this survey is necessary for the Administration for Children and Families, Office of Refugee Resettlement (ORR) to protect the health and safety of UC and program staff. If this collection is allowed to expire, it could contribute to further spread of COVID-19, thereby resulting in public harm. ORR requests emergency approval pursuant to 5 CFR 1320.13 in order for the COVID-19 screening tool to continue to be used beyond the current expiration date of September 30, 2021. ORR is concurrently seeking public comment and will address any comments prior to submitting a request for approval beyond that granted through this emergency request.

Authorizing Statute(s): US Code: 6 USC 279(b)(1)(B);(E) Name of Law: Homeland Security Act of 2002

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 44023	08/11/2021
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Unaccompanied Children – Coronavirus (COVID-19) Risk Questionnaire

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	3,900,000	3,900,000
Annual Time Burden (Hours)	128,700	128,700
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

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: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

View ICR - OIRA Conclusion