Form A-10E Form A-10E Sexual Abuse Significant Incident Report

Administration and Oversight of the Unaccompanied Children Program

Sexual Abuse Significant Incident Report

Sexual Abuse Significant Incident Report (Form A-10E)

OMB: 0970-0547

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OMB 0970-0547 [Valid through MM/DD/YYYY]

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR care provider programs to inform ORR
of allegations of sexual harassment, sexual abuse, and inappropriate sexual behavior. Public reporting burden for this collection of information is estimated to average 0.333 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security
Act, 6 U.S.C. 279). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995,
unless it displays a currently valid OMB control number. If you have any comments on this collection of information please contact [email protected].


File Typeapplication/pdf
AuthorDPP-SH
File Modified2021-05-17
File Created2021-05-17

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