Refugee Data Submission System for Formula Funds Allocations (ORR–5)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Form	New	Repair queued
7. Appendix A_ORR Response to Public Comments on ORR-5_202010_clean.docx	Supplementary Document	Uploaded 2020-11-02	Repair queued
0. Supporting Statements_ORR5_202010_clean.docx	Supporting Statement A	Uploaded 2020-11-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9820	Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	Instruction	Modified
244337	Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Form	New

ICR Details

OMB Control No: 0970-0043	ICR Reference No: 202011-0970-001
Status: Received in OIRA	Previous ICR Reference No: 201709-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Refugee Data Submission System for Formula Funds Allocations (ORR–5)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/04/2020

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	67	50
Time Burden (Hours)	8,500	1,100
Cost Burden (Dollars)	0	0

---

Abstract: The Refugee Data Submission System for Formula Funds Allocations (ORR-5) is designed to satisfy the statutory requirements of the Immigration and Nationality Act (INA). Section 412(a)(3)of the INA (8 U.S.C. § 1522(a)(3)) requires that the Director of the Office of Refugee Resettlement (ORR) make a periodic assessment of the needs of refugees for assistance and services and the resources available to meet those needs. Through this current request, ORR proposes: 1) an extension with no changes to the current form until January 31, 2021 to ensure continuous information collection for FY 2020; 2) revisions to the form for use after FY 2020. Revisions include collecting additional client-level data elements on the ORR-5 at two points in time, which will allow the ORR Director to better understand client goals, services utilized, and the outcomes achieved by the population ORR serves. ORR believes the new proposed data points will better meet INA requirements and ensure the relative needs of the populations ORR serves are assessed. To satisfy statutory requirements, ORR requires each state and replacement designee (hereinafter referred to as “states”) participating in the program to submit disaggregated individual records annually containing certain data elements for eligible refugee populations. ORR utilizes the data currently collected to assess the number of clients served in each state, resettlement assistance or services refugees received, and to determine the corresponding Refugee Support Services (RSS) allocations. ORR also proposes collecting new data elements to inform evidence-based policy making and program design. New data elements include additional demographics, primary goals identified and referrals made to work toward self-sufficiency, progress made toward achieving said goals, and employment status of employable refugees 12 months post-enrollment. These revisions also enable ORR and states to monitor implementation of the requirements put forth in ORR Policy Letter 19-07, which provides guidance on RSS family self-sufficiency plans.

---

Authorizing Statute(s): US Code: 8 USC 1522(a)(3) Name of Law: Immigration and Nationalization Act
  

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 41049	07/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 70179	11/04/2020
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	1	ORR-5 (New January 2021)
Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	1	ORR-5 - FY2020

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	67	50	0	17	0	0
Annual Time Burden (Hours)	8,500	1,100	0	7,400	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 request is for additional data collection under OMB #0970-0043 to collect client-level data elements on the ORR-5 at multiple points in time, which will allow the ORR Director and states to better understand client goals, services utilized, and the outcomes achieved by the population ORR serves. New data elements include additional demographics, primary goals identified and referrals made to assist clients work towards self-sufficiency, progress made towards achieving said goals, and employment status of employable refugees 12 months post-enrollment. The data collected will inform evidence-based policy making and program design. These revisions also enable ORR and states to monitor implementation of the requirements put forth in ORR Policy Letter 19-07.

---

Annual Cost to Federal Government: $252,568

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.     Yes

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: 11/04/2020

---