Information Collection Request

Administration and Oversight of the Unaccompanied Alien Children Program

ICR 202010-0970-004 · OMB 0970-0547 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form A-12 Hotline Alert Form Unchanged Repair queued
Form A-11 (Aggregate) UAC Satisfaction Survey Aggregate Data Form Removed Available
Form A-10F Sexual Abuse Significant Incident Report Addendum Form Unchanged Available
Form Form A-10E Sexual Abuse Significant Incident Report Form Unchanged Available
Form A-10D Significant Incident Report Addendum Form Unchanged Available
Form A-10C Significant Incident Report Form Unchanged Available
Form A-10B Emergency Significant Incident Report Addendum Form Unchanged Available
Form A-10A Emergency Significant Incident Report Form Unchanged Available
Form A-9 Program Level Event Report Form Unchanged Repair queued
Form A-5 Authorization for Release of Records Form Unchanged Available
Form A-4s Notice to UAC for Flores Visits Form Unchanged Available
Form A-4 Notice to UAC for Flores Visits Form Unchanged Available
Form A-1A Care Provider Facility Tour Request Form Unchanged Available
Attachment A Summary of Public Comments and ORR Responses (10.27.20) FINAL.docx Supplementary Document Uploaded 2020-12-31 Available
Attachment A – Summary of Public Comments and ORR Responses (10.27.20) FINAL.docx Supplementary Document Uploaded 2020-10-27 Available
Supporting Statement for Admin and Oversight (10.27.20) FINAL.docx Supporting Statement A Uploaded 2020-10-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241082 Hotline Alert (Form A-12) Form UnchangedHotline Alert
241081 UAC Satisfaction Survey Aggregate Data Form RemovedUAC Satisfaction Survey Aggregate Data
241080 UAC Satisfaction Survey (Form A-11 & A-11s) Other-Survey Removed
241079 Sexual Abuse Significant Incident Report Addendum (Form A-10F) Form UnchangedSexual Abuse Significant Incident Report Addendum
241078 Sexual Abuse Significant Incident Report (Form A-10E) Form UnchangedSexual Abuse Significant Incident Report
241077 Significant Incident Report Addendum (Form A-10D) Form UnchangedSignificant Incident Report Addendum
241076 Significant Incident Report (Form A-10C) Form UnchangedSignificant Incident Report
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form UnchangedEmergency Significant Incident Report Addendum
241074 Emergency Significant Incident Report (Form A-10A) Form UnchangedEmergency Significant Incident Report
241073 Program Level Event (Form A-9) Form UnchangedProgram Level Event Report
241072 Authorization for Release of Records (Form A-5) Form UnchangedAuthorization for Release of Records
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form UnchangedNotice to UAC for Flores Visits
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form UnchangedNotice to UAC for Flores Visits
241067 Care Provider Facility Tour Request (Form A-1A) Form UnchangedCare Provider Facility Tour Request

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2024 36 Months From Approved 01/31/2021
124,940 0 198,015
38,341 0 63,561
0 0 0





Reginfo record details
11
table that charts list of burden
IC Title Form No. Form Name
Authorization for Release of Records (Form A-5) A-5
Care Provider Facility Tour Request (Form A-1A) A-1A
Emergency Significant Incident Report (Form A-10A) A-10A
Emergency Significant Incident Report Addendum (Form A-10B) A-10B
Hotline Alert (Form A-12) A-12
Notice to UAC for Flores Visits (Forms A-4 & A-4s) A-4s, A-4 ,  
Program Level Event (Form A-9) A-9
Sexual Abuse Significant Incident Report (Form A-10E) Form A-10E
Sexual Abuse Significant Incident Report Addendum (Form A-10F) A-10F
Significant Incident Report (Form A-10C) A-10C
Significant Incident Report Addendum (Form A-10D) A-10D
UAC Satisfaction Survey (Form A-11 & A-11s)
UAC Satisfaction Survey Aggregate Data A-11 (Aggregate)

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 124,940 198,015 0 -73,075 0 0
Annual Time Burden (Hours) 38,341 63,561 0 -25,220 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No