View Information Collection Request (ICR) Package
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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:
0970-0547
ICR Reference No:
202304-0970-003
Status:
Historical Active
Previous ICR Reference No:
202109-0970-014
Agency/Subagency:
HHS/ACF
Agency Tracking No:
ORR
Title:
Administration and Oversight of the Unaccompanied Children Program
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
04/12/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/11/2023
Terms of Clearance:
Prior to the re-submission of this information collection and in consideration of future collections, ACF will consider including explicit reference to program policy manuals and/or other guidance documents if those documents define key terms used or otherwise inform the collection.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2025
05/31/2025
05/31/2025
Responses
180,529
0
180,529
Time Burden (Hours)
132,577
0
132,577
Cost Burden (Dollars)
0
0
0
Abstract:
These instruments allow ORR to facilitate stakeholder visits to care provider facilities; obtain consent from UC to share their case file information; improve service delivery to UC; and ensure that serious issues are elevated to ORR and that all incidents and the response to such incidents are documented and resolved in a way that protects the interests of UC. This request is for revisions to six forms currently approved under OMB #0970-0547, to add four new instruments, and to remove one currently approved instrument. Six instruments in this collection will be incorporated into ORR’s new case management system, UC Path. Details about the changes are described in section A15.
Authorizing Statute(s):
US Code:
8 USC 1232
Name of Law: Trafficking Victim Protection Reauthorization Act of 2008
US Code:
6 USC 279
Name of Law: Homeland Security Act of 2002
PL:
Pub.L. 113 - 4 1101(c)
Name of Law: Violence Against Women Reauthorization Act of 2013
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 545
01/06/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 53319
09/27/2021
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
13
IC Title
Form No.
Form Name
Authorization for Release of Records (Form A-5 & A-5s)
A-5, A-5s
Authorization for Release of Records
,
Authorization for Release of Records - Spanish
Authorization for Release of Records (Form A-5 & A-5s) - Record keeping
A-5, A-5s
Authorization for Release of Records
,
Authorization for Release of Records - Spanish
Care Provider Facility Tour Request (Form A-1A)
A-1A
Care Provider Facility Tour Request
Care Provider Facility Tour Request (Form A-1A) - Record Keeping
Form A-1A
Care Provider Facility Tour Request
Emergency Significant Incident Report (Form A-10A)
A-10A, A-10A
Emergency Significant Incident Report - UC Path Version
,
Emergency SIR and Addendum - UC Portal Version
Emergency Significant Incident Report Addendum (Form A-10B)
A-10B, A-10B
Emergency Significant Incident Report Addendum - UC Path Version
,
Emergency Significant Incident Report Addendum - UC Portal Version
Event (Form A-9)
A-9
Event Report
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)
A-14
Key Personnel Qualification Checklist and Attestation
Notice to UAC for Flores Visits (Forms A-4 & A-4s)
A-4s, A-4
Notice to UC for Flores Visits
,
Notice to UC for Flores Visits - Spanish
Notification of Concern (Form A-7)
Form A-7
Notification of Concern
ORR Waiver Request (Form A-15)
Form A-15
ORR Waiver Request
Program Level Event (Form A-10D)
A-10D, A-10D
Program-Level Event Report - UC Portal Version
,
Program-Level Event Report and Addendum - UC Path Version
Significant Incident Report (Form A-10C)
A-10C, A-10C
Significant Incident Report - UC Path Version
,
Significant Incident Report - UC Portal Version
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
180,529
180,529
0
0
0
0
Annual Time Burden (Hours)
132,577
132,577
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
$5,036,336
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.
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?
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:
04/11/2023
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