ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - URM Provider Agencies

Unaccompanied Refugee Minors Program: ORR-3 Placement Report and ORR-4 Outcomes Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0034 can be found here:

Documents and Forms

Document Name Document Type
Form ORR-4 Form ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - URM Provider Agencies Form
ORR-4 Instructions_FINAL.docx Instruction
ORR-4 Instructions_FINAL.docx Instruction
ORR-4 Form ORR-4 Form ORR-4 Report Form_FINAL.xlsx Form
ORR-4 Form ORR-4 Form ORR-4 Report Form_FINAL.xlsx Form

Information Collection (IC) Details

IC Title:	ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - URM Provider Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 400

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORR-4 Form	ORR-4 Form	ORR-4 Report Form_FINAL.xlsx		Yes	Yes	Fillable Fileable
Instruction			ORR-4 Instructions_FINAL.docx		Yes	No	Fillable Printable

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 46686

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,296	1,296
Annual IC Time Burden (Hours)	1,296	1,296
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.