Unaccompanied Refugee Minors Program Application

Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form

OMB: 0970-0550

IC ID: 241921

Information Collection (IC) Details

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Unaccompanied Refugee Minors Program Application
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 URM Program Application Form URM Program Application Form_2.26.2020.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services


350 0
Private Sector Not-for-profit institutions
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 350 0 350 0 0 0
Annual IC Time Burden (Hours) 525 0 525 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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