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

ICR 202112-0970-003

OMB: 0970-0564

Federal Form Document

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Justification for No Material/Nonsubstantive Change
2021-12-09
Supplementary Document
2021-08-31
Supporting Statement A
2021-08-26
IC Document Collections
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ICR Details
0970-0564 202112-0970-003
Received in OIRA 202108-0970-016
HHS/ACF ORR
Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities
No material or nonsubstantive change to a currently approved collection   No
Regular 12/10/2021
  Requested Previously Approved
10/31/2024 10/31/2024
8,342 8,342
11,031 11,031
0 0

The Monitoring and Compliance for ORR Care Provider Facilities information collection consists of several forms that allow the Unaccompanied Children (UC) Program 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. Currently, there are three versions of a questionnaire for UC – ages 5 and under; ages 6-12; and ages 13 and older (UC Questionnaires, Forms M-12A, M-12B and M-12E, respectively). ORR proposes including questions in forms M-12A and M-12B that will assist in monitoring ORR care provider programs that house Unaccompanied Afghan Minors (UAM) and solicit relevant information from all UC.

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

Not associated with rulemaking

  86 FR 6340 01/21/2021
86 FR 48707 08/31/2021
Yes

46
IC Title Form No. Form Name
Case Coordinator Questionnaire (Form M-13E) - Recordkeeping Form M-13E Case Coordinator Questionnaire
Case Coordinator Questionnaire (Form M-13E) - Respondents Form M-13E Case Coordinator Questionnaire
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
Corrective Action Report (Form M-1) - Recordkeeping M-1 Corrective Action Report (Form M-1)
Corrective Action Report (Form M-1) - Respondents 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
HS/PRS Site Visit Guide (Form M-7E) - Recordkeeping Form M-7E HS PRS Site Visit Guide
HS/PRS Site Visit Guide (Form M-7E) - Respondents Form M-7E HS PRS Site Visit Guide
Home Study and Post-Release Services Caseworker Questionnaire (Form M-13B) - Recordkeeping Form M-13B Home Study and Post-Release Services Caseworker 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 Director Questionnaire (Form M-13A) - Recordkeeping Form M-13A 48 - HS PRS Program Director 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 Personnel File Checklist (Form M-10C) Form M-10C Home Study and Post-Release Services Personnel File Checklist
Incident Reviews (Forms M-5A to M-5B) Form M-5A, Form M-5B UC Incident Review ,   Adult Incident Review
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
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
Legal Service Provider Questionnaire (Form M-13C) - Recordkeeping Form M-13C Legal Service Provider Questionnaire
Legal Service Provider Questionnaire (Form M-13C) - Respondents Form M-13C Legal Service Provider Questionnaire
Long Term Foster Care Client Questionnaire (M-12C) - Recordkeeping Form M-12C LTFC Client Questionnaire
Long Term Foster Care Client Questionnaire (M-12C) - Respondents Form M-12C LTFC Client Questionnaire
Long Term Foster Care Foster Parent Checklist (Form M-10D) Form M-10D Long Term Foster Care Foster Parent Checklist
Long Term Foster Care Foster Parent Questionnaire (form M-11O) - Recordkeeping Form M-11O LTFC Foster Parent Questionnaire
Long Term Foster Care Foster Parent Questionnaire (form M-11O) - Respondents Form M-11O LTFC Foster Parent 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 Home Finder Questionnaire (Form M-11M) - Respondents Form M-11M Long Term Foster Care Home Finder 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 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 Legal Service Provider Questionnaire (Form M-13D) - Recordkeeping Form M-13D LTFC Legal Service Provider Questionnaire
Long Term Foster Care Legal Service Provider Questionnaire (Form M-13D) - Reporting Form M-13D LTFC Legal Service Provider Questionnaire
Monitoring Schedule (Form M-15) Form M-15 Monitoring Schedule
Monitoring Visit (Form M-14) Form M-14 Monitoring Visit
Out-of-Network Site Visit Report (Form M-3B) Form M-3B Out-of-Network Site Visit Report
Personnel File Checklist (Form M-10A) Form M-10A Personnel File Checklist
Program Staff Questionnaires (Form M-11A-K) - Recordkeeping Form M-11G, Form M-11D, Form M-11A, Form M-11B, Form M-11C, Form M-11E, Form M-11F, Form M-11H, Form M-11I, Form M-11J, Form M-11K Program Director Questionnaire ,   LTFC Program Director Questionnaire ,   Clinician Questionnaire ,   LTFC Clinician Questionnaire ,   Case Manager Questionnaire ,   LTFC Case Manager Questionnaire ,   Education Staff Questionnaire ,   LTFC Educational Staff Questionnaire ,   Medical Coordinator Questionnaire ,   Youth Care Worker Questionnaire ,   PSA Compliance Manager Questionnaire
Program Staff Questionnaires (Form M-11A-K) - Respondents 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 Program Director Questionnaire ,   LTFC Program Director Questionnaire ,   Clinician Questionnaire ,   LTFC Clinician Questionnaire ,   Case Manager Questionnaire ,   LTFC Case Manager Questionnaire ,   Education Staff Questionnaire ,   LTFC Educational Staff Questionnaire ,   Medical Coordinator Questionnaire ,   Youth Care Worker Questionnaire ,   PSA Compliance Manager Questionnaire
Secure Client Questionnaire (Form M-12D) - Recordkeeping Form M-12D Secure Client Questionnaire
Secure Client Questionnaire (Form M-12D) - Respondents Form M-12D Secure Client Questionnaire
Secure Detention Officer Questionnaire (Form M-11L) - Recordkeeping Form M-11L Secure Detention Officer Questionnaire
Secure Detention Officer Questionnaire (Form M-11L) - Respondents Form M-11L Secure Detention Officer Questionnaire
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
Supplement to Personnel File Checklist (Form M-10B) Form M-10B Supplement to Personnel File Checklist
UC Questionnaires (Forms M-12A-B, E) - Recordkeeping Form M-12E, Form M-12A, Form M-12B, Form M-12As, Form M-12Bs, Form M-12Es UC Questionnaire - Ages 6-12 Years Old - English ,   UC Questionnaire - Ages 13 and Older - English ,   UC Questionnaire - Ages 5 and Under - English ,   UC Questionnaire - Ages 6-12 Years Old - Spanish ,   UC Questionnaire - Ages 13 and Older - Spanish ,   UC Questionnaire - Ages 5 and Under - Spanish
UC Questionnaires (Forms M-12A-B, E) - Respondents Form M-12A , Form M-12B, Form M-12E, Form M-12As, Form M-12Bs, Form M-12Es UC Questionnaire - Ages 6-12 Years Old - English ,   UC Questionnaire - Ages 13 and Older - English ,   UC Questionnaire - Ages 5 and Under - English ,   UC Questionnaire - Ages 6-12 Years Old - Spanish ,   UC Questionnaire - Ages 13 and Older - Spanish ,   UC Questionnaire - Ages 5 and Under - Spanish
Voluntary Agency Site Visit Guide (Form M-7F) - Recordkeeping Form M-7F Voluntary Agency Site Visit Guide
Voluntary Agency Site Visit Guide (Form M-7F) - Respondents Form M-7F Voluntary Agency Site Visit Guide

  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 8,342 8,342 0 0 0 0
Annual Time Burden (Hours) 11,031 11,031 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Changes to burden result from the following adjustments: • Shelter Site Visit Guide (Form M-7A) – The average burden minutes per response was increased from 12 hours to 13 hours for respondents and from 28 hours to 29 hours for federal and contractor monitors. • Removal of the following instruments from the information collection. These instruments will be completed by federal staff as part of their normal job duties and by less than 10 contractor staff. Therefore, they are no longer subject to PRA requirements. o Monitoring Notes (Form M-6A) o Remote Monitoring Notes (Form M-6B) o Long Term Foster Care Monitoring Notes (Form M-6C) o Long Term Foster Care Remote Monitoring Notes (Form M-6D) o UC Case File Checklist (Form M-8A) o Long Term Foster Care Case File Checklist (Form M-8B) o Home Study and Post-Release Services Case File Checklist (Form M-8C) o Secure and Staff Secure Addendum to Case File Checklist (Form M-8D) o On Site Monitoring Checklist (Form M-9A) o Foster Home On Site Monitoring Checklist (Form M-9B) o Post-Release Services Home Observation (Form M-9C)

$854,348
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.
12/10/2021


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