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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:
0970-0564
ICR Reference No:
202211-0970-002
Status:
Historical Active
Previous ICR Reference No:
202112-0970-003
Agency/Subagency:
HHS/ACF
Agency Tracking No:
ORR
Title:
Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
11/10/2022
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/09/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/09/2022
Terms of Clearance:
OMB is approving this Emergency ICR with the understanding that within 6 months from the approval date, ACF will complete a 60d and 30d public comment request to support the approval of the ICR ahead of the expiration date.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2023
6 Months From Approved
10/31/2024
Responses
19,728
0
8,342
Time Burden (Hours)
35,506
0
11,031
Cost Burden (Dollars)
0
0
0
Abstract:
The UC Program provides care and custody for UC 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 UC in ORR custody. Generally, care provider facilities are State-licensed (with the exception of facilities located in states that are unwilling to license them and temporary emergency 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 instruments directly related to the care of UC. The instruments in this information collection allow the UC Program to monitor its care provider facilities for compliance with Federal and State laws and regulations, licensing and accreditation standards, ORR policies and procedures, and child welfare standards.
Emergency Justfication:
The Administration for Children and Families (ACF) is requesting emergency review and approval of this information collection by OMB, as authorized under 44 U.S.C. 3507(subsection j). The proposed forms are necessary to allow the Office of Refugee Resettlement (ORR) Unaccompanied Children (UC) Program to monitor its care provider facilities for compliance with Federal and State laws and regulations, licensing and accreditation standards, ORR policies and procedures, and child welfare standards. The information collected is essential to the mission of the agency and an unanticipated event has occurred that could reasonably result in public harm if normal Paperwork Reduction Act (PRA) clearance procedures are followed. Recent legislation in Texas (Proclamation by the Governor of the State of Texas, May 31, 2021) and Florida (Emergency Rule 65CER21-3, December 10, 2021) has resulted in a large number of ORR facilities no longer being licensed by the states. To help mitigate the issue, ORR plans to perform quarterly monitoring visits to Texas and Florida programs. In order to implement the quarterly monitoring, ORR needs to add alternate versions of 15 forms in this information collection and reinstate three forms. See sections A1, A2, and A15 in Supporting Statement A for additional details.
Authorizing Statute(s):
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
US Code:
6 USC 279
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:
87 FR 64798
10/26/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
64
IC Title
Form No.
Form Name
Case Coordinator Questionnaire (Form M-13E) - Recordkeeping
Form M-13E
Case Coordinator Questionnaire
Case Coordinator Questionnaire (Form M-13E) - Respondents
Form M-13E
Case Coordinator Questionnaire
Checklist for a Child-Friendly Environment (Form M-4A to M4B)
Form M-4A, Form M-4B
Checklist for a Child-Friendly Environment - Care Provider Facility
,
Checklist for a Child-Friendly Environment - Individual Foster Home
Corrective Action Report (Form M-1) - Recordkeeping
M-1
Corrective Action Report (Form M-1)
Corrective Action Report (Form M-1) - Respondents
M-1
Corrective Action Report (Form M-1)
FFS Compliance and Safety Site Visit Report (Form M-3A) - Respondents
Form M-3A
FFS Compliance and Safety Site Visit Report
HS/PRS Site Visit Guide (Form M-7E) - Recordkeeping
Form M-7E
HS PRS Site Visit Guide
HS/PRS Site Visit Guide (Form M-7E) - Respondents
Form M-7E
HS PRS Site Visit Guide
Home Study and Post-Release Services Caseworker Questionnaire (Form M-13B) - Recordkeeping
Form M-13B
Home Study and Post-Release Services Caseworker Questionnaire
Home Study and Post-Release Services Caseworker Questionnaire (Form M-13B) - Respondents
Form M-13B
Home Study and Post-Release Services Caseworker Questionnaire
Home Study and Post-Release Services Director Questionnaire (Form M-13A) - Recordkeeping
Form M-13A
48 - HS PRS Program Director Questionnaire
Home Study and Post-Release Services Director Questionnaire (Form M-13A) - Respondents
Form M-13A
HS PRS Program Director Questionnaire
Home Study and Post-Release Services Personnel File Checklist (Form M-10C)
Form M-10C
Home Study and Post-Release Services Personnel File Checklist
Incident Reviews (Forms M-5A to M-5B)
Form M-5A, Form M-5B
UC Incident Review
,
Adult Incident Review
Interpreter Questionnaire (Form M-11P)
Form M-11P
Interpreter Questionnaire
LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M-7C to M-7D) - Recordkeeping
Form M-7D, Form M-7C
LTFC Site Visit Guide
,
LTFC Remote Site Visit Guide
LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M-7C to M-7D) - Respondents
Form M-7C, Form M-7D
LTFC Site Visit Guide
,
LTFC Remote Site Visit Guide
Legal Service Provider Questionnaire (Form M-13C) - Recordkeeping
Form M-13C
Legal Service Provider Questionnaire
Legal Service Provider Questionnaire (Form M-13C) - Respondents
Form M-13C
Legal Service Provider Questionnaire
Long Term Foster Care Client Questionnaire (M-12C) - Recordkeeping
Form M-12C
LTFC Client Questionnaire
Long Term Foster Care Client Questionnaire (M-12C) - Respondents
Form M-12C
LTFC Client Questionnaire
Long Term Foster Care Foster Parent Checklist (Form M-10D)
Form M-10D
Long Term Foster Care Foster Parent Checklist
Long Term Foster Care Foster Parent Questionnaire (form M-11O) - Recordkeeping
Form M-11O
LTFC Foster Parent Questionnaire
Long Term Foster Care Foster Parent Questionnaire (form M-11O) - Respondents
Form M-11O
LTFC Foster Parent Questionnaire
Long Term Foster Care Home Finder Questionnaire (Form M-11M) - Recordkeeping
Form M-11M
Long Term Foster Care Home Finder Questionnaire
Long Term Foster Care Home Finder Questionnaire (Form M-11M) - Respondents
Form M-11M
Long Term Foster Care Home Finder Questionnaire
Long Term Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Recordkeeping
Form M-11N
Long Term Foster Care Independent Living Life Skills Staff Questionnaire
Long Term Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Respondents
Form M-11N
Long Term Foster Care Independent Living Life Skills Staff Questionnaire
Long Term Foster Care Legal Service Provider Questionnaire (Form M-13D) - Recordkeeping
Form M-13D
LTFC Legal Service Provider Questionnaire
Long Term Foster Care Legal Service Provider Questionnaire (Form M-13D) - Reporting
Form M-13D
LTFC Legal Service Provider Questionnaire
Monitoring Schedule (Form M-15)
Form M-15
Monitoring Schedule
Monitoring Visit (Form M-14)
Form M-14
Monitoring Visit
Out-of-Network Site Visit Report (Form M-3B)
Form M-3B
Out-of-Network Site Visit Report
Personnel File Checklist (Form M-10A)
Form M-10A
Personnel File Checklist
Program Staff Questionnaires (Form M-11A-K) - Recordkeeping
Form M-11H, Form M-11G, Form M-11D, Form M-11A, Form M-11B, Form M-11C, Form M-11E, Form M-11F, Form M-11I, Form M-11J, Form M-11K
Program Director Questionnaire
,
LTFC Program Director Questionnaire
,
Clinician Questionnaire
,
LTFC Clinician Questionnaire
,
Case Manager Questionnaire
,
LTFC Case Manager Questionnaire
,
Education Staff Questionnaire
,
LTFC Educational Staff Questionnaire
,
Medical Coordinator Questionnaire
,
Youth Care Worker Questionnaire
,
PSA Compliance Manager Questionnaire
Program Staff Questionnaires (Form M-11A-K) - Respondents
Form M-11G, Form M-11C, Form M-11A, Form M-11B, Form M-11D, Form M-11E, Form M-11F, Form M-11H, Form M-11I, Form M-11J, Form M-11K
Program Director Questionnaire
,
LTFC Program Director Questionnaire
,
Clinician Questionnaire
,
LTFC Clinician Questionnaire
,
Case Manager Questionnaire
,
LTFC Case Manager Questionnaire
,
Education Staff Questionnaire
,
LTFC Educational Staff Questionnaire
,
Medical Coordinator Questionnaire
,
Youth Care Worker Questionnaire
,
PSA Compliance Manager Questionnaire
Secure Client Questionnaire (Form M-12D) - Recordkeeping
Form M-12D
Secure Client Questionnaire
Secure Client Questionnaire (Form M-12D) - Respondents
Form M-12D
Secure Client Questionnaire
Secure Detention Officer Questionnaire (Form M-11L) - Recordkeeping
Form M-11L
Secure Detention Officer Questionnaire
Secure Detention Officer Questionnaire (Form M-11L) - Respondents
Form M-11L
Secure Detention Officer Questionnaire
Site Visit and Remote Monitoring Site Visit Guides (Forms M-7A to M-7B) - Recordkeeping
Form M-7A, Form M-7B
Site Visit Guide
,
Remote Monitoring Site Visit Guide
Site Visit and Remote Monitoring Site Visit Guides (Forms M-7A to M-7B) - Respondents
Form M-7A, Form M-7B
Site Visit Guide
,
Remote Monitoring Site Visit Guide
Supplement to Personnel File Checklist (Form M-10B)
Form M-10B
Supplement to Personnel File Checklist
UC Questionnaires (Forms M-12A-B, E) - Recordkeeping
Form M-12E, Form M-12A, Form M-12B, Form M-12As, Form M-12Bs, Form M-12Es
UC Questionnaire - Ages 6-12 Years Old - English
,
UC Questionnaire - Ages 13 and Older - English
,
UC Questionnaire - Ages 5 and Under - English
,
UC Questionnaire - Ages 6-12 Years Old - Spanish
,
UC Questionnaire - Ages 13 and Older - Spanish
,
UC Questionnaire - Ages 5 and Under - Spanish
UC Questionnaires (Forms M-12A-B, E) - Respondents
Form M-12A , Form M-12B, Form M-12E, Form M-12As, Form M-12Bs, Form M-12Es
UC Questionnaire - Ages 6-12 Years Old - English
,
UC Questionnaire - Ages 13 and Older - English
,
UC Questionnaire - Ages 5 and Under - English
,
UC Questionnaire - Ages 6-12 Years Old - Spanish
,
UC Questionnaire - Ages 13 and Older - Spanish
,
UC Questionnaire - Ages 5 and Under - Spanish
Unlicensed Facility Personnel File Checklist (Form M-10A-UF) - Recordkeeping
Form M-10A-UF
Unlicensed Facility Personnel File Checklist
Unlicensed Facility Case Coordinator Questionnaire (Form M-13E-UF) - Recordkeeping
Form M-13E-UF
Unlicensed Facility Case Coordinator Questionnaire
Unlicensed Facility Case Coordinator Questionnaire (Form M-13E-UF) - Respondent
Form M-13E-UF
Unlicensed Facility Case Coordinator Questionnaire
Unlicensed Facility Interpreter Questionnaire (Form M-11P-UF) - Recordkeeping
Form M-11P-UF
Interpreter Questionnaire
Unlicensed Facility Interpreter Questionnaire (Form M-11P-UF) - Respondents
Form M-11P-UF
Interpreter Questionnaire
Unlicensed Facility Legal Service Provider Questionnaire (Form M-13C-UF) - Recordkeeping
Form M-13C-UF
Legal Service Provider Questionnaire
Unlicensed Facility Legal Service Provider Questionnaire (Form M-13C-UF) - Respondent
Form M-13C-UF
Legal Service Provider Questionnaire
Unlicensed Facility Monitoring Notes (Form M-6A-UF) - Recordkeeping
Form M-6A-UF
Unlicensed Facility Monitoring Notes
Unlicensed Facility On-Site Monitoring Checklist (Form M-9A-UF) - Recordkeeping
Form M-9A-UF
Unlicensed Facility On-Site Monitoring Checklist
Unlicensed Facility Program Staff Questionnaires (Forms M-11A-UF to M-11K-UF) - Recordkeeping
Form M-11A-UF, Form M-11C-UF, Form M-11E-UF, Form M-11G-UF, Form M-11I-UF, Form M-11J-UF, Form M-11K-UF
Program Director Questionnaire
,
Clinician Questionnaire
,
Case Manager Questionnaire
,
Education Staff Questionnaire
,
Medical Coordinator Questionnaire
,
Youth Care Worker Questionnaire
,
PSA Compliance Manager Questionnaire
Unlicensed Facility Program Staff Questionnaires (Forms M-11A-UF to M-11K-UF) - Respondents
Form M-11A-UF, Form M-11C-UF, Form M-11E-UF, Form M-11G-UF, Form M-11I-UF, Form M-11J-UF, Form M-11K-UF
Program Director Questionnaire
,
Clinician Questionnaire
,
Case Manager Questionnaire
,
Education Staff Questionnaire
,
Medical Coordinator Questionnaire
,
Youth Care Worker Questionnaire
,
PSA Compliance Manager Questionnaire
Unlicensed Facility Site Visit Guide (Form M-7A-UF) - Recordkeeping
Form M-7A-UF
Unlicensed Facility Site Visit Guide
Unlicensed Facility Site Visit Guide (Form M-7A-UF) - Respondents
Form M-7A-UF
Unlicensed Facility Site Visit Guide
Unlicensed Facility UC Case File Checklist (Form M-8A-UF) - Recordkeeping
Form M-8A-UF
Unlicensed Facility UC Case File Checklist
Unlicensed Facility UC Case File Checklist (Form M-8A-UF) - Respondents
Form M-8A-UF
Unlicensed Facility UC Case File Checklist
Unlicensed Facility UC Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Recordkeeping
Form M-12Bs-UF, Form M-12A-UF, Form M-12As-UF, Form M-12B-UF, Form M-12E-UF, Form M-12Es-UF
UC Questionnaire - Ages 6-12 Years Old English
,
UC Questionnaire - Ages 6-12 Years Old Spanish
,
UC Questionnaire - Ages 13 and Older English
,
UC Questionnaire - Ages 13 and Older Spanish
,
UC Questionnaire - Ages 5 and Under - English
,
UC Questionnaire - Ages 5 and Under Spanish
Unlicensed Facility UC Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents
Form M-12A-UF, Form M-12As-UF, Form M-12B-UF, Form M-12Bs-UF, Form M-12E-UF, Form M-12Es-UF
UC Questionnaire - Ages 6-12 Years Old English
,
UC Questionnaire - Ages 6-12 Years Old Spanish
,
UC Questionnaire - Ages 13 and Older English
,
UC Questionnaire - Ages 13 and Older Spanish
,
UC Questionnaire - Ages 5 and Under - English
,
UC Questionnaire - Ages 5 and Under Spanish
Voluntary Agency Site Visit Guide (Form M-7F) - Recordkeeping
Form M-7F
Voluntary Agency Site Visit Guide
Voluntary Agency Site Visit Guide (Form M-7F) - Respondents
Form M-7F
Voluntary Agency Site Visit Guide
ICR Summary of Burden
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
19,728
8,342
0
11,386
0
0
Annual Time Burden (Hours)
35,506
11,031
0
24,475
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
ORR added Interpreter Questionnaire (Form M-11P), which is currently approved under OMB #0970-0558, to this information collection. ORR added forms that were previously approved by OMB but were removed from the information collection due to the number of respondents. Differences between the previously approved versions and the current versions that will be used by contractor monitors are as noted in section A15 of Supporting Statement A. ORR added alternate versions of forms already approved under this information collection. Differences between the already approved versions and the alternate versions that will be used by contractor monitors are detailed in section A15 of Supporting Statement A. Unlicensed programs will continue to receive comprehensive biennial monitoring visits pursuant to UC Policy Guide Section 5.5.1 during which the full original versions of these forms will be used. Quarterly monitoring visits will mainly focus on health and safety. To align with that purpose and help streamline forms that will be administered more often than their full version counterparts, adjustments made to the alternate versions removed some items related to program management. Other adjustments were made for clarity or to align with current ORR policy and procedures. Quarterly monitoring visits will continue to monitor for the same areas related to child welfare practices and provision of services as biennial monitoring visits.
Annual Cost to Federal Government:
$859,105
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.
Yes
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.
Yes
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?
No
Agency Contact:
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
11/09/2022