Information Collection

Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)

IC 244337 under ICR 202011-0970-001 · OMB 0970-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Form
5. ORR-5 Instructions_proposed_202011.docx	Instruction
5 ORR-5 Instructions_proposed_202103_final.docx	Instruction
6. ORR-5 Instructions Attachment_proposed_202010.xlsx	Instruction
6. ORR-5 Instructions Attachment_proposed_202103_final.xlsx	Instruction
1 ORR-5 (New January 2021) 4. ORR-5 Form_proposed_202010.xlsx	Form
1 ORR-5 (New January 2021) 4. ORR-5 Form_proposed_202103_final.xlsx	Form

IC Title:

Refugee Data Submission for Formula Funds Allocations(ORR-5) âRevised (for use after January 2021)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	ORR-5 (New January 2021)	4. ORR-5 Form_proposed_202103_final.xlsx	Yes	Yes	Fillable Fileable
Instruction			5 ORR-5 Instructions_proposed_202103_final.docx	Yes	Yes	Fillable Fileable
Instruction			6. ORR-5 Instructions Attachment_proposed_202103_final.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: ORR Internet Refugee Arrivals Data System (iRADS)

FR Citation: 81 FR 46682

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	33	33
Annual IC Time Burden (Hours)	4,635	4,635
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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