COVID-19 Screening Tool for Unaccompanied Children Program Staff and Visitors

ICR 202109-0970-006

OMB: 0970-0543

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ICR Details
0970-0543 202109-0970-006
Received in OIRA 202008-0970-014
COVID-19 Screening Tool for Unaccompanied Children Program Staff and Visitors
Extension without change of a currently approved collection   No
Emergency 09/14/2021
  Requested Previously Approved
6 Months From Approved 09/30/2021
3,900,000 3,900,000
128,700 128,700
0 0

The emergence of the COVID-19 infectious disease pandemic necessitated action to help ensure unaccompanied children and program staff health and safety within ORR’s UC Program. The Office of Management and Budget (OMB) approved the current COVID-19 screening tool for UC program staff and visitors on September 20, 2020 for one year with the following terms of clearance: Limiting approval timelines for COVID-specific items; apply for an extension in 1 year if the public health emergency continues and include any updated symptom checklists and procedures. The public health emergency related to COVID-19 has continued so at this time, ACF is requesting an extension of this information collection in order to continue to collect vital information in protecting the health and safety of UC and program staff. There are no changes proposed to the information collection.
This information collection request is for a short survey to assess the risk of COVID-19 among staff and visitors at Unaccompanied Children (UC) care provider facilities. The information from this survey is necessary for the Administration for Children and Families, Office of Refugee Resettlement (ORR) to protect the health and safety of UC and program staff. If this collection is allowed to expire, it could contribute to further spread of COVID-19, thereby resulting in public harm. ORR requests emergency approval pursuant to 5 CFR 1320.13 in order for the COVID-19 screening tool to continue to be used beyond the current expiration date of September 30, 2021. ORR is concurrently seeking public comment and will address any comments prior to submitting a request for approval beyond that granted through this emergency request.

US Code: 6 USC 279(b)(1)(B);(E) Name of Law: Homeland Security Act of 2002

Not associated with rulemaking

  86 FR 44023 08/11/2021

IC Title Form No. Form Name
Unaccompanied Children – Coronavirus (COVID-19) Risk 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 3,900,000 3,900,000 0 0 0 0
Annual Time Burden (Hours) 128,700 128,700 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Molly Buck 202 205-4724 [email protected]


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.

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