Services Provided to Unaccompanied Alien Children

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form S-16 Summary Notes Thirty Day Restrictive Placement Case Review	Form	New	Available
Form S-15 Child Advocate Referral and Appointment	Form	New	Available
Form S-14 UAC Long Term Foster Care Travel Request	Form	New	Available
Form S-13 Individual Service Plan	Form	New	Available
Form S-12 UAC Case Review	Form	New	Available
Form S-11 UAC Assessment	Form	New	Available
Form S-9 Assessment for Risk	Form	New	Available
Form S-8 Initial Intakes Assessment	Form	New	Available
Form S-7 New Sponsor	Form	New	Available
Form S-6 Home Study Report	Form	New	Available
Form S-5 Sponsor Assessment	Form	New	Available
Supporting Statement - Services (07.07.20) CLEAN.docx	Supporting Statement A	Uploaded 2020-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242815	UAC Case Status	Other-Case Status	New
242814	Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16)	Form	New	Summary Notes Thirty Day Restrictive Placement Case Review
242813	Child Advocate Referral and Appointment (Form S-15)	Form	New	Child Advocate Referral and Appointment
242812	UAC Long Term Foster Care Travel Request (Form S-14)	Form	New	UAC Long Term Foster Care Travel Request
242811	Individual Service Plan (Form S-13)	Form	New	Individual Service Plan
242810	UAC Case Review (Form S-12)	Form	New	UAC Case Review
242809	UAC Assessment (Form S-11)	Form	New	UAC Assessment
242808	Assessment for Risk (Form S-9)	Form	New	Assessment for Risk
242807	Initial Intakes Assessment (Form S-8)	Form	New	Initial Intakes Assessment
242806	New Sponsor (Form S-7)	Form	New	New Sponsor
242805	Home Study Report (Form S-6)	Form	New	Home Study Report
242804	Sponsor Assessment (Form S-5)	Form	New	Sponsor Assessment

ICR Details

OMB Control No: 0970-0553	ICR Reference No: 202007-0970-018
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Services Provided to Unaccompanied Alien Children
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: 07/28/2020
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/26/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/27/2020
Terms of Clearance: We appreciate ACF's agreement to update the supporting statement with reference to ORR Guidance: Children Entering the United States Unaccompanied, which describes policies relevant to this collection of information.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	6 Months From Approved
Responses	888,622	0	0
Time Burden (Hours)	384,209	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: ORR’s Unaccompanied Alien Children (UAC) Program provides care and custody for UAC until they can be safely released to a sponsor, repatriated to their home country, or obtain legal status. ORR funds residential care provider facilities that provide temporary housing and other services to UAC in ORR custody. Care provider facilities are State licensed, with the exception of temporary influx care facilities, and must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management. ORR is submitting several instruments directly related to the care of UAC for processing pursuant to the Paperwork Reduction Act. These instruments allow ORR to provide services to UAC as required by statute and ORR policy. The proposed instruments are: • Sponsor Assessment (Form S-5) • Home Study Report (Form S-6) • New Sponsor (Form S-7) • Initial Intakes Assessment (Form S-8) • Assessment for Risk (Form S-9) • UAC Assessment (Form S-11) • UAC Case Review (Form S-12) • Individual Service Plan (Form S-13) • Travel Request for Long Term Foster Care (Form S-14) • Child Advocate Recommendation and Appointment (Form S-15) • Summary Notes: Thirty Day Restrictive Placement Case Review (Form S-16) • UAC Case Status

Emergency Justfication: This information collection consists of several instruments that allow the UAC Program to provide services to UAC as required by statute and ORR policy. This is a time sensitive request because many of these forms are already in use and must continue to be in use in order for the UAC Program to meet its statutory obligations. Seven of these ICs are currently approved under OMB #0970-0498 (expiration date: 7/31/20). ORR is reorganizing the instruments currently approved under OMB #0970-0498 into separate collections based on the purpose of the information collected. This Services Provided to UAC information collection includes seven instruments from OMB #0970-0498 that are related to services provided to UAC as well as five additional instruments that fall under this information collection category and are subject to PRA and require approval by OMB.

---

Authorizing Statute(s): US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   US Code: 8 USC 1232 Name of Law: Trafficking Victims Protection Reauthorization Act of 2008
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 44895	07/24/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Assessment for Risk (Form S-9)	S-9	Assessment for Risk
Child Advocate Referral and Appointment (Form S-15)	S-15	Child Advocate Referral and Appointment
Home Study Report (Form S-6)	S-6	Home Study Report
Individual Service Plan (Form S-13)	S-13	Individual Service Plan
Initial Intakes Assessment (Form S-8)	S-8	Initial Intakes Assessment
New Sponsor (Form S-7)	S-7	New Sponsor
Sponsor Assessment (Form S-5)	S-5	Sponsor Assessment
Summary Notes Thirty Day Restrictive Placement Case Review (Form S-16)	S-16	Summary Notes Thirty Day Restrictive Placement Case Review
UAC Assessment (Form S-11)	S-11	UAC Assessment
UAC Case Review (Form S-12)	S-12	UAC Case Review
UAC Case Status
UAC Long Term Foster Care Travel Request (Form S-14)	S-14	UAC Long Term Foster Care Travel Request

---

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	888,622	0	0	888,622	0	0
Annual Time Burden (Hours)	384,209	0	0	384,209	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 ICR.

---

Annual Cost to Federal Government: $15,962,862

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.     Yes

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? No

---

Common Form ICR:  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:

(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: 07/27/2020

---