Refugee and Entrant Unaccompanied Minor Placement Report -- ORR-3 Refugee and Entrant Unaccompanied Minor Progree Report -- ORR-4

ICR 199909-0970-001

OMB: 0970-0034

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0970-0034 199909-0970-001
Historical Active 199604-0970-001
HHS/ACF
Refugee and Entrant Unaccompanied Minor Placement Report -- ORR-3 Refugee and Entrant Unaccompanied Minor Progree Report -- ORR-4
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 11/04/1999
Retrieve Notice of Action (NOA) 09/07/1999
HHS is instructed to include the Paperwork Reduction Act Notice on both ORR-3 and ORR-4.
  Inventory as of this Action Requested Previously Approved
11/30/2002 11/30/2002
400 0 0
126 0 0
0 0 0

The placement form is submitted by the local agency upon initial placement of the child and whenever there is a change in the child's status, including termination from the program. The progress report is required annually to indicate the child's progress towards goals in the child's case plan.

None
None


No

1
IC Title Form No. Form Name
Refugee and Entrant Unaccompanied Minor Placement Report -- ORR-3 Refugee and Entrant Unaccompanied Minor Progree Report -- ORR-4 ORR-3, ORR-4

  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 400 0 0 400 0 0
Annual Time Burden (Hours) 126 0 0 126 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/07/1999


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