Form 1 ORR-5

Refugee Data Submission Sytstem for Formual Funds Allocations

ORR5 Form 23 October 2017.xlsx

Secondary Migrant File for Formula Funds Allocations

OMB: 0970-0043

Document [xlsx]
Download: xlsx | pdf
Row Number ORR5 Data Format

1 Alien Number 8 or 9 digits

2 Status Refugee, SIV, VOT, Asylee, C/H Entrant

3 Name Last, First, Middle

4 Date of Birth mm/dd/yyyy
5 Gender M, F, or U for Unknown

6 State State Code

7 County County Name

8 Nationality Country Name

9 Organization providing the support State Name or Replacement Designee Name

10 Date eligible for ORR benefits mm/dd/yyyy

11 Medical Screening Initial Enrollment Date mm/dd/yyyy or Null if not enrolled

12 Medical Screening Exit Date mm/dd/yyyy or Null if not enrolled or still active

13 Social Services Program Initial Enrollment Date mm/dd/yyyy or Null if not enrolled

14 Social Services Program Exit Date mm/dd/yyyy or Null if not enrolled or still active

15 RCA Initial Enrollment Date mm/dd/yyyy or Null if not enrolled

16 RCA Exit Date mm/dd/yyyy or Null if not enrolled or still active

17 RMA Initial Enrollment Date mm/dd/yyyy or Null if not enrolled

18 RMA Exit Date mm/dd/yyyy or Null if not enrolled or still active

19 Migration Status In, Out, or No change

20 Date of Migration mm/dd/yyyy - In/Out date based on Migration Status

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