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:
202505-0970-002
Status:
Historical Active
Previous ICR Reference No:
202409-0970-009
Agency/Subagency:
HHS/ACF
Agency Tracking No:
ORR - UAC Bureau
Title:
Unaccompanied Alien Children Bureau Administrative Activities
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/30/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/28/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2028
36 Months From Approved
06/30/2025
Responses
22,790
0
188,089
Time Burden (Hours)
11,804
0
173,941
Cost Burden (Dollars)
0
0
0
Abstract:
The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau provides care and custody for unaccompanied alien children 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 children in ORR custody. Generally, care provider facilities are State licensed (with the exception of those located in states unwilling to consider them for licensure and temporary influx care 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 forms directly related to the care of unaccompanied alien children. The forms in this information collection allow ORR to perform UAC Bureau-related administrative activities, such as facilitating stakeholder visits to care provider facilities; obtaining consent from children to share their case file information; and processing requests and waivers for the hiring of key and non-key personnel at care provider facilities. This request is for revisions to five existing forms in this collection and to remove seven forms, which will be transferred under new Office of Management and Budget (OMB) control numbers (separate requests will be submitted for the new control numbers). Details about the changes are described in section A15 of Supporting Statement A.
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 (HSA)
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:
89 FR 104187
12/20/2024
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 22304
05/27/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Authorization for Release of Records (Form A-5)
A-5, A-5s
Authorization for Release of Records (English)
,
Authorization for Release of Records (Spanish)
Authorization for Release of Records (Form A-5) - Record keeping
A-5, A-5s
Authorization for Release of Records
,
Authorization for Release of Records - Spanish
Behavioral Note (Form A-9E)
A-9E
Behavioral Note
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
Child-Level Event (Form A-9A)
A-9A
Child-Level Event
Emergency Significant Incident Report (Form A-9B)
A-9B, A-9B
Emergency Significant Incident Report - UC Path Version
,
Emergency Significant Incident Report
Historical Disclosure (Form A-9D)
A-9D
Historical Disclosure
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)
A-14
Key Personnel Minimum Qualifications Checklist and Attestation
Non-Emergency Significant Incident Report and Addendum (Form A-9C)
A-9C, A-9C
Emergency Significant Incident Report Addendum - UC Path Version
,
Emergency Significant Incident Report Addendum - UC Portal Version
Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4)
A-4, A-4s
Notice to Unaccompanied Alien Children for Class Counsel Visits
,
Notice to Unaccompanied Alien Children for Class Counsel Visits - Spanish
Notification of Concern (Form A-7)
Form A-7, Form A-7
Notification of Concern
,
Notification of Concern Addendum
ORR Waiver Request (Form A-15)
Form A-15
ORR Waiver Request
Program Level Event (Form A-10)
A-10, A-10
Program-Level Event Report - UC Portal Version
,
Program-Level Event Report and Addendum - UC Path 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
22,790
188,089
0
-165,299
0
0
Annual Time Burden (Hours)
11,804
173,941
0
-162,137
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This request is for revisions to five existing forms in this collection and to remove seven forms, which will be transferred under new Office of Management and Budget (OMB) control numbers (separate requests will be submitted for the new control numbers). Details about the changes are described in section A15 of Supporting Statement A.
Annual Cost to Federal Government:
$11,421
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:
05/28/2025
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