COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statements with OMB Instructions UAC COVID19 Survey_Final.docx	Supporting Statement A	Uploaded 2020-03-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240791	Unaccompanied Alien Children – Coronavirus (COVID-19) Risk Questionnaire	Other-Questionnaire	New

ICR Details

OMB Control No: 0970-0543	ICR Reference No: 202003-0970-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/20/2020
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/20/2020
	Date Received in OIRA: 03/20/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	6 Months From Approved
Responses	3,900,000	0	0
Time Burden (Hours)	128,700	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The emergence of the COVID-19 infectious disease pandemic has necessitated action to help ensure the unaccompanied alien children and program staff health and safety within the Unaccompanied Alien Children (UAC) Program. The COVID-19 risk questionnaire asks participants whether or not they display COVID-19 symptoms, whether or not they have had close contact with individuals known to test positive for COVID-19, and whether or not they have travel history to areas of sustained transmission of COVID-19. The information collected by conducting this survey at UAC programs will help ensure the health and safety of children in our care and our program staff by helping to identify and reduce potential exposure to COVID-19. Due to the time sensitivity of collecting the information in the proposed COVID-19 risk questionnaire, we are requesting from OMB expedited review and approval through special processing. A request for review under normal procedures will be submitted within 180 days of the approval for this request.

Emergency Justfication: Due to the time sensitivity of collecting the information in the proposed COVID-19 risk questionnaire, we are requesting from OMB expedited review and approval through special processing. A request for review under normal procedures will be submitted within 180 days of the approval for this request.

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Authorizing Statute(s): US Code: 6 USC 279(b)(1)(B);(E) Name of Law: Homeland Security Act of 2002
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Unaccompanied Alien Children – Coronavirus (COVID-19) Risk Questionnaire

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ICR Summary of Burden

table that charts list 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	3,900,000	0	0	3,900,000	0	0
Annual Time Burden (Hours)	128,700	0	0	128,700	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: This is a new information collection request.

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Annual Cost to Federal Government: $4,360

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.     No

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? Yes

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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: 03/20/2020

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