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

Forms and Documents

Document Name	Status
Form ORR-3 Title ORR-3The Refugee Unaccompanied Minor Placement Report Form	Modified
Form ORR-4 Title ORR-4 Regugee and Entrant Unaccompanied Minor Progress Report Form	Modified
Final ORR-4 Instructions 12.05.12.doc Supplementary Document	2012-12-21
Final ORR-3 Instructions 12.05.12.doc Supplementary Document	2012-12-21
2012 Supporting Statement 121012.doc Supporting Statement A	2012-12-21

IC Document Collections

IC ID	Document Title	Status
9806	Title ORR-3The Refugee Unaccompanied Minor Placement Report Form	Modified
46534	Title ORR-4 Regugee and Entrant Unaccompanied Minor Progress Report Form	Modified

ICR Details

OMB Control No: 0970-0034	ICR Reference No: 201301-0970-001
Status: Historical Active	Previous ICR Reference No: 201001-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: ORR-3 Refugee and Entrant Unaccompanied Minor Placement Report /ORR-4 Refugee and Entrant Unaccompanied Minor Placement Report
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: 05/08/2013
	Date Received in OIRA: 01/02/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved	05/31/2013
Responses	2,910	0	1,890
Time Burden (Hours)	2,959	0	1,417
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): US Code: 8 USC IV Name of Law: Refugee Act of 1980
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 153	08/08/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 74851	12/18/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Title ORR-3The Refugee Unaccompanied Minor Placement Report	ORR-3	Refugee Unaccompanied Minor Placement Report
Title ORR-4 Regugee and Entrant Unaccompanied Minor Progress Report	ORR-4	Refugee and Entrant Unaccompanied Minor Outcomes Report

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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	2,910	1,890	0	1,020	0	0
Annual Time Burden (Hours)	2,959	1,417	0	1,542	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: Changes in the instruments.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 01/02/2013

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