Information Collection Request

Administration and Oversight of the Unaccompanied Children Program

ICR 202105-0970-013 · OMB 0970-0547 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form A-12 Hotline Alert Form Unchanged Available
Form A-12 Hotline Alert (Form A-12) Form Unchanged Repair queued
Form A-10F Sexual Abuse Significant Incident Report Addendum Form Unchanged Available
Form A-10F Sexual Abuse Significant Incident Report Addendum (Form A-10F) Form Unchanged Repair queued
Form Form A-10E Sexual Abuse Significant Incident Report Form Modified Available
Form Form A-10E Sexual Abuse Significant Incident Report (Form A-10E) Form Modified Repair queued
Form A-10D Significant Incident Report Addendum Form Unchanged Available
Form A-10D Significant Incident Report Addendum (Form A-10D) Form Unchanged Repair queued
Form A-10C Significant Incident Report Form Modified Repair queued
Form A-10C Significant Incident Report (Form A-10C) Form Modified Repair queued
Form A-10B Emergency Significant Incident Report Addendum Form Unchanged Repair queued
Form A-10B Emergency Significant Incident Report Addendum (Form A-10B) Form Unchanged Repair queued
Form A-10A Emergency Significant Incident Report Form Modified Available
Form A-10A Emergency Significant Incident Report (Form A-10A) Form Modified Repair queued
Form A-9 Program Level Event Report Form Modified Repair queued
Form A-9 Program Level Event (Form A-9) Form Modified Repair queued
Form A-5 Authorization for Release of Records Form Unchanged Available
Form A-5 Authorization for Release of Records (Form A-5) Form Unchanged Repair queued
Form A-4s Notice to UAC for Flores Visits Form Unchanged Available
Form A-4 Notice to UAC for Flores Visits Form Unchanged Repair queued
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form Unchanged Repair queued
Form A-1A Care Provider Facility Tour Request Form Unchanged Repair queued
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form Unchanged Repair queued
0970-0547 NonSub Change Request FINAL (05.20.21).docx Justification for No Material/Nonsubstantive Change Uploaded 2021-05-20 Repair queued
Attachment A Summary of Public Comments and ORR Responses (10.27.20) FINAL.docx Supplementary Document Uploaded 2020-12-31 Repair queued
Attachment A – Summary of Public Comments and ORR Responses (10.27.20) FINAL.docx Supplementary Document Uploaded 2020-10-27 Repair queued
Supporting Statement for Admin and Oversight (10.27.20) FINAL.docx Supporting Statement A Uploaded 2020-10-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241082 Hotline Alert (Form A-12) Form UnchangedHotline Alert
241082 Hotline Alert (Form A-12) Form Unchanged
241079 Sexual Abuse Significant Incident Report Addendum (Form A-10F) Form UnchangedSexual Abuse Significant Incident Report Addendum
241079 Sexual Abuse Significant Incident Report Addendum (Form A-10F) Form Unchanged
241078 Sexual Abuse Significant Incident Report (Form A-10E) Form ModifiedSexual Abuse Significant Incident Report
241078 Sexual Abuse Significant Incident Report (Form A-10E) Form Modified
241077 Significant Incident Report Addendum (Form A-10D) Form UnchangedSignificant Incident Report Addendum
241077 Significant Incident Report Addendum (Form A-10D) Form Unchanged
241076 Significant Incident Report (Form A-10C) Form ModifiedSignificant Incident Report
241076 Significant Incident Report (Form A-10C) Form Modified
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form UnchangedEmergency Significant Incident Report Addendum
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form Unchanged
241074 Emergency Significant Incident Report (Form A-10A) Form ModifiedEmergency Significant Incident Report
241074 Emergency Significant Incident Report (Form A-10A) Form Modified
241073 Program Level Event (Form A-9) Form ModifiedProgram Level Event Report
241073 Program Level Event (Form A-9) Form Modified
241072 Authorization for Release of Records (Form A-5) Form UnchangedAuthorization for Release of Records
241072 Authorization for Release of Records (Form A-5) Form Unchanged
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
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form Unchanged
241067 Care Provider Facility Tour Request (Form A-1A) Form UnchangedCare Provider Facility Tour Request
241067 Care Provider Facility Tour Request (Form A-1A) Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2024 01/31/2024 01/31/2024
124,940 0 124,940
38,341 0 38,341
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-4, A-4s ,  
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

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 124,940 124,940 0 0 0 0
Annual Time Burden (Hours) 38,341 38,341 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No