Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities

ICR 202102-0970-001

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Supporting Statement A
2021-02-12
IC Document Collections
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ICR Details
202102-0970-001
Received in OIRA
HHS/ACF ORR
Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities
New collection (Request for a new OMB Control Number)   No
Emergency 02/16/2021
02/12/2021
  Requested Previously Approved
6 Months From Approved
9,364 0
13,364 0
0 0

These instruments allow ORR to monitor its care provider facilities for compliance with Federal and State laws and regulations, licensing and accreditation standards, ORR policies and procedures, and child welfare standards.
Consistent with the Paperwork Reduction Act of 1995, and OMB procedures, the Department requests approval for emergency processing for Monitoring and Compliance forms for the Unaccompanied Children program. On January 21, 2021, the Department published a Notice of Request for Public Comment for the forms, initiating a 60-day period for the public to submit comments on the information collection. The 60-day comment period ends on March 22, 2021. The monitoring and compliance forms are necessary for the program to meet its statutory obligations (Homeland Security Act, 6 U.S.C. 279). The Department requests emergency OMB approval pursuant to 5 CFR 1320.13 in order for the monitoring and compliance forms to be used by ORR field offices while public comment is being sought. The Department plans to complete the ongoing PRA process for the three-year approval of the monitoring and compliance forms since approval based on emergency processing under the PRA is only granted for a maximum of 180 days, until August 2021.

US Code: 8 USC 1232 Name of Law: Trafficking Victim Protection Reauthorization Act of 2008
   US Code: 6 USC 279 Name of Law: Homeland Security Act of 2002
  
None

Not associated with rulemaking

  86 FR 6340 01/21/2021
No

60
IC Title Form No. Form Name
Corrective Action Report (Form M-1) - Respondents M-1 Corrective Action Report (Form M-1)
Corrective Action Report (Form M-1) - Recordkeeping M-1 Corrective Action Report (Form M-1)
FFS Compliance and Safety Site Visit Report (Form M-3A) - Respondents Form M-3A FFS Compliance and Safety Site Visit Report
FFS Compliance and Safety Site Visit Report (Form M-3A) - Recordkeeping Form M-3A FFS Compliance and Safety Site Visit Report
Out-of-Network Site Visit Report (Form M-3B) Form M-3B Out-of-Network Site Visit Report
Checklist for a Child-Friendly Environment (Form M-4A to M4B) Form M-4A, Form M-4B Checklist for a Child-Friendly Environment - Care Provider Facility ,   Checklist for a Child-Friendly Environment - Individual Foster Home
Incident Reviews (Forms M-5A to M-5B) Form M-5A, Form M-5B UAC Incident Review ,   Adult Incident Review
Monitoring and Remote Monitoring Notes (Forms M-6A to M-6B) Form M-6A, Form M-6B Monitoring Notes ,   Remote Monitoring Notes
LTFC Monitoring and LTFC Remote Monitoring Notes (Forms M-6C to M-6D) Form M-6C, Form M-6D LTFC Monitoring Notes ,   LTFC Remote Monitoring Notes
Site Visit and Remote Monitoring Site Visit Guides (Forms M-7A to M-7B) - Recordkeeping Form M-7A, Form M-7B Site Visit Guide ,   Remote Monitoring Site Visit Guide
Site Visit and Remote Monitoring Site Visit Guides (Forms M-7A to M-7B) - Respondents Form M-7A, Form M-7B Site Visit Guide ,   Remote Monitoring Site Visit Guide
HS/PRS Site Visit Guide (Form M-7E) - Respondents Form M-7E HS PRS Site Visit Guide
HS/PRS Site Visit Guide (Form M-7E) - Recordkeeping Form M-7E HS PRS Site Visit Guide
Voluntary Agency Site Visit Guide (Form M-7F) - Respondents Form M-7F Voluntary Agency Site Visit Guide
Voluntary Agency Site Visit Guide (Form M-7F) - Recordkeeping Form M-7F Voluntary Agency Site Visit Guide
UAC Case File Checklist (Form M-8A) - Respondents Form M-8A UAC Case File Checklist
UAC Case File Checklist (Form M-8A) - Recordkeeping Form M-8A UAC Case File Checklist
Long Term Foster Care File Checklist (Form M-8B) - Respondents Form M-8B Long Term Foster Care File Checklist
Long Term Foster Care File Checklist (Form M-8B) - Recordkeeping Form M-8B Long Term Foster Care File Checklist
Home Study and Post-Release Services Case File Checklist (Form M-8C) - Respondents Form M-8C Home Study and Post-Release Services Case File Checklist
Home Study and Post-Release Services Case File Checklist (Form M-8C) - Recordkeeping Form M-8C Home Study and Post-Release Services Case File Checklist
Secure and Staff Secure Addendum to Case File Checklist (Form M-8D) - Recordkeeping Form M-8D Secure and Staff Secure Addendum to Case File Checklist
On Site Monitoring Checklist (Form M-9A) Form M-9A On Site Monitoring Checklist
Personnel File Checklist (Form M-10A) Form M-10A Personnel File Checklist
Supplement to Personnel File Checklist (Form M-10B) Form M-10B Supplement to Personnel File Checklist
Home Study and Post-Release Services Personnel File Checklist (Form M-10C) Form M-10C Home Study and Post-Release Services Personnel File Checklist
Long Term Foster Care Foster Parent Checklist (Form M-10D) Form M-10D Long Term Foster Care Foster Parent Checklist
Program Staff Questionnaires (Form M-11A-K) - Respondents Form M-11D, Form M-11E, Form M-11F, Form M-11H, Form M-11A, Form M-11B, Form M-11C, Form M-11I, Form M-11J, Form M-11K, Form M-11G LTFC Clinician Questionnaire ,   Case Manager Questionnaire ,   LTFC Case Manager Questionnaire ,   LTFC Educational Staff Questionnaire ,   Program Director Questionnaire ,   LTFC Program Director Questionnaire ,   Clinician Questionnaire ,   Medical Coordinator Questionnaire ,   Youth Care Worker Questionnaire ,   PSA Compliance Manager Questionnaire ,   Education Staff Questionnaire
Program Staff Questionnaires (Form M-11A-K) - Recordkeeping Form M-11G, Form M-11A, Form M-11B, Form M-11C, Form M-11D, Form M-11E, Form M-11F, Form M-11H, Form M-11I, Form M-11J, Form M-11K Education Staff Questionnaire ,   Program Director Questionnaire ,   LTFC Program Director Questionnaire ,   Clinician Questionnaire ,   LTFC Clinician Questionnaire ,   Case Manager Questionnaire ,   LTFC Case Manager Questionnaire ,   LTFC Educational Staff Questionnaire ,   Medical Coordinator Questionnaire ,   Youth Care Worker Questionnaire ,   PSA Compliance Manager Questionnaire
Secure Detention Officer Questionnaire (Form M-11L) - Respondents Form M-11L Secure Detention Officer Questionnaire
Secure Detention Officer Questionnaire (Form M-11L) - Recordkeeping Form M-11L Secure Detention Officer Questionnaire
Long Term Foster Care Home Finder Questionnaire (Form M-11M) - Respondents Form M-11M Long Term Foster Care Home Finder Questionnaire
Long Term Foster Care Home Finder Questionnaire (Form M-11M) - Recordkeeping Form M-11M Long Term Foster Care Home Finder Questionnaire
Long Term Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Respondents Form M-11N Long Term Foster Care Independent Living Life Skills Staff Questionnaire
Long Term Foster Care Independent Living Life Skills Staff Questionnaire (Form M-11N) - Recordkeeping Form M-11N Long Term Foster Care Independent Living Life Skills Staff Questionnaire
Long Term Foster Care Foster Parent Questionnaire (form M-11O) - Respondents Form M-11O LTFC Foster Parent Questionnaire
UAC Questionnaires (Forms M-12A-B) - Respondents Form M-12A, Form M-12B UAC Questionnaire - Ages 6-12 Years Old ,   UAC Questionnaire - Ages 13 and Older
UAC Questionnaires (Forms M-12A-B) - Recordkeeping Form M-12A, Form M-12B UAC Questionnaire - Ages 6-12 Years Old ,   UAC Questionnaire - Ages 13 and Older
Long Term Foster Care Client Questionnaire (M-12C) - Respondents Form M-12C LTFC Client Questionnaire
Long Term Foster Care Client Questionnaire (M-12C) - Recordkeeping Form M-12C LTFC Client Questionnaire
Secure Client Questionnaire (Form M-12D) - Respondents Form M-12D Secure Client Questionnaire
Secure Client Questionnaire (Form M-12D) - Recordkeeping Form M-12D Secure Client Questionnaire
Home Study and Post-Release Services Director Questionnaire (Form M-13A) - Respondents Form M-13A HS PRS Program Director Questionnaire
Home Study and Post-Release Services Director Questionnaire (Form M-13A) - Recordkeeping Form M-13A 48 - HS PRS Program Director Questionnaire
Home Study and Post-Release Services Caseworker Questionnaire (Form M-13B) - Respondents Form M-13B Home Study and Post-Release Services Caseworker Questionnaire
Home Study and Post-Release Services Caseworker Questionnaire (Form M-13B) - Recordkeeping Form M-13B Home Study and Post-Release Services Caseworker Questionnaire
Legal Service Provider Questionnaire (Form M-13C) - Respondents Form M-13C Legal Service Provider Questionnaire
Legal Service Provider Questionnaire (Form M-13C) - Recordkeeping Form M-13C Legal Service Provider Questionnaire
Long Term Foster Care Legal Service Provider Questionnaire (Form M-13D) - Reporting Form M-13D LTFC Legal Service Provider Questionnaire
Long Term Foster Care Legal Service Provider Questionnaire (Form M-13D) - Recordkeeping Form M-13D LTFC Legal Service Provider Questionnaire
Case Coordinator Questionnaire (Form M-13E) - Respondents Form M-13E Case Coordinator Questionnaire
Monitoring Visit (Form M-14) Form M-14 Monitoring Visit
Monitoring Schedule (Form M-15) Form M-15 Monitoring Schedule
LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M-7C to M-7D) - Respondents Form M-7C, Form M-7D LTFC Site Visit Guide ,   LTFC Remote Site Visit Guide
LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M-7C to M-7D) - Recordkeeping Form M-7C, Form M-7D LTFC Site Visit Guide ,   LTFC Remote Site Visit Guide
Secure and Staff Secure Addendum to Case File Checklist (Form M-8D) - Respondents Form M-8D Secure and Staff Secure Addendum to Case File Checklist
Foster Home On Site Monitoring Checklist (Form M-9B) Form M-9 Foster Home On Site Monitoring Checklist
Post-Release Services Home Observation (Form M-9C) Form M-9C Post-Release Services Home Observation
Long Term Foster Care Foster Parent Questionnaire (form M-11O) - Recordkeeping Form M-11O LTFC Foster Parent Questionnaire
Case Coordinator Questionnaire (Form M-13E) - Recordkeeping Form M-13E Case Coordinator Questionnaire

  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 9,364 0 0 9,364 0 0
Annual Time Burden (Hours) 13,364 0 0 13,364 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.

$498,366
No
    Yes
    Yes
No
No
No
No
Molly Buck 202 205-4724 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/12/2021


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