Refugee Data Submission System for Formula Funds Allocations (ORR–5)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 ORR-5 - FY2020	Form	Unchanged	Available
Form 1 Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	Form	Unchanged	Repair queued
Form 1 ORR-5 (New January 2021)	Form	Modified	Available
Form 1 Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Form	Modified	Repair queued
NonSub Change Request _ORR_ORR-5_Add UHP_0970-0043_07.13.22.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-07-13	Repair queued
NonSub Change Request _ORR_ORR-5_Add AHP_0970-0043_10.20.21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-10-20	Repair queued
7 Appendix A_ORR Response to Public Comments on ORR-5_20210401_clean.docx	Supplementary Document	Uploaded 2021-04-14	Repair queued
0 Supporting Statements_ORR5_20210405_clean.docx	Supporting Statement A	Uploaded 2021-04-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9820	Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	Form	Unchanged	ORR-5 - FY2020
9820	Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	Form	Unchanged
9820	Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	Instruction	Unchanged
244337	Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Form	Modified	ORR-5 (New January 2021)
244337	Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Form	Modified
244337	Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	Instruction	Modified

ICR Details

OMB Control No: 0970-0043	ICR Reference No: 202207-0970-006
Status: Historical Active	Previous ICR Reference No: 202110-0970-012
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Refugee Data Submission System for Formula Funds Allocations (ORR–5)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/14/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2024	04/30/2024	04/30/2024
Responses	50	0	50
Time Burden (Hours)	6,135	0	6,135
Cost Burden (Dollars)	0	0	0

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Abstract: The ORR-5 data submission provides ORR data that helps establish resource allocation for the Refugee Support Services (RSS) grant including set-asides; overall service information for Refugee Cash Assistance, Refugee Medical Assistance, Medical Screening, and RSS; and outcomes in the RSS program for clients and their family members with a Family Self-Sufficiency Plan. The Additional Ukraine Supplemental Appropriations Act, 2022 (AUSAA) authorizes ORR to provide resettlement assistance and other benefits available for refugees to specific Ukrainian populations and other non-Ukrainian individuals in response to their displacement from Ukraine and entry into the United States. The current OMB approved ORR-5 form already collects eligible immigration status or category of individual. There is no existing option available to accurately capture the newly authorized Ukrainian Humanitarian Parolee (UHP) population and U.S. born UHP. ORR is requesting to add the UHP options to the existing OMB approved form. ORR also requests to revise existing gender markers to be in alignment with recent updates made by the State Department to gender categories on passports. Other minor revisions are requested to improve clarity and precision of the Instructions.

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Authorizing Statute(s): US Code: 8 USC 1522(a)(3) Name of Law: Immigration and Nationalization Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 41049	07/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 70179	11/04/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Refugee Data Submission for Formula Funds Allocations (ORR-5) –Current (through January 31, 2021)	1	ORR-5 - FY2020
Refugee Data Submission for Formula Funds Allocations(ORR-5) –Revised (for use after January 2021)	1	ORR-5 (New January 2021)

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ICR Summary of Burden

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	50	50	0	0	0	0
Annual Time Burden (Hours)	6,135	6,135	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is for additional data collection under OMB #0970-0043 to collect client-level data elements on the ORR-5 at multiple points in time, which will allow the ORR Director and states to better understand client goals, services utilized, and the outcomes achieved by the population ORR serves. New data elements include additional demographics, primary goals identified and referrals made to assist clients work towards self-sufficiency, progress made towards achieving said goals, and employment status of employable refugees 12 months post-enrollment. The data collected will inform evidence-based policy making and program design. These revisions also enable ORR and states to monitor implementation of the requirements put forth in ORR Policy Letter 19-07.

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Annual Cost to Federal Government: $252,568

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/14/2022

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