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OMB Control No: 0970-0554	ICR Reference No: 202601-0970-004
Status: Historical Inactive	Previous ICR Reference No: 202512-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Placement and Transfer of Unaccompanied [Alien] Children into ORR Care Provider Facilities
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 09/26/2025
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 02/20/2026
	Date Received in OIRA: 01/13/2026
Terms of Clearance: Please resubmit with the upcoming revision.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	02/28/2026	03/31/2026
Responses	12,003,289	0	12,003,289
Time Burden (Hours)	5,950,965	0	5,950,965
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 license them 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 place unaccompanied alien children referred to ORR by federal agencies into care provider facilities and to transfer children within the ORR care provider network. On September 26, 2025, the Office of Management and Budget approved revised versions of forms P-4 and P-7 through emergency approval, as authorized under 5 CFR 1320.13. ORR is proposing revisions to one form in this collection, the Authorization for Medical, Dental, and Mental Health Care (Form P-2). The purpose of the Authorization for Medical, Dental and Mental Health Care (Form P-2) is to inform the treating healthcare provider that the care provider program has the authority, on behalf of ORR, to provide consent for certain healthcare services for unaccompanied alien children and to collect the child’s health records for these services. In addition, the form explains the reimbursement procedure for the submission of healthcare claims. The approved version of the Authorization for Medical, Dental and Mental Health Care (Form P-2) is not consistent with ORR’s current consent policies, guidance on required healthcare services, and reimbursement processes. The lack of alignment has caused confusion in the healthcare community and a delay in reimbursement of services.  

Emergency Justfication: ACF is requesting emergency review and approval by OMB to update two forms approved under the Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities information collection (OMB #0970-0554), as authorized under 5 CFR 1320.13.  ACF is requesting approval as soon as possible due to secure beds becoming available on September 15, 2025 and requests 180 days of approval, during which time a full revision request will be submitted under normal procedures under the Paperwork Reduction Act. The information collection is essential to the mission of the agency, the use of normal clearance procedures is reasonably likely to prevent or disrupt the collection of information, and public harm is reasonably likely to result if normal clearance procedures are followed. For additional information see Attachment A.

Authorizing Statute(s): 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 (HSA)
   US Code: 8 USC 1232 Name of Law: Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)

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
Did the Agency receive public comments on this ICR? No

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: $8,916,556

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

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