Information Collection

Unaccompanied Refugee Minors Program Application

IC 241921 under ICR 202110-0970-009 · OMB 0970-0550.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0550 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Unaccompanied Refugee Minors Program Application	Form
1 URM Program Application Form URM Application Form_CLEAN.pdf	Form
1 URM Program Application Form URM Application Form_CLEAN.pdf	Form

IC Title:

Unaccompanied Refugee Minors Program Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	URM Program Application Form	URM Application Form_CLEAN.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	525	525
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.