Information Collection Request

Administration and Oversight of the Unaccompanied Children Program

ICR 202301-0970-008 · OMB 0970-0547 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form A-7 Notification of Concern Form Modified Available
Form Form A-7 Notification of Concern (Form A-7) Form Modified Repair queued
Form A-5s Authorization for Release of Records - Spanish Form Unchanged Available
Form A-5 Authorization for Release of Records Form Unchanged Available
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form Unchanged Repair queued
Form Form A-1A Care Provider Facility Tour Request Form Unchanged Available
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form Unchanged Repair queued
Form Form A-15 ORR Waiver Request Form Unchanged Available
Form Form A-15 ORR Waiver Request (Form A-15) Form Unchanged Repair queued
Form A-14 Key Personnel Qualification Checklist and Attestation Form Unchanged Available
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form Unchanged Repair queued
Form A-10D Program-Level Event Report and Addendum - UC Path Version Form Unchanged Available
Form A-10D Program-Level Event Report - UC Portal Version Form Unchanged Available
Form A-10D Program Level Event (Form A-10D) Form Unchanged Repair queued
Form A-10C Significant Incident Report - UC Portal Version Form Unchanged Available
Form A-10C Significant Incident Report - UC Path Version Form Unchanged Available
Form A-10C Significant Incident Report (Form A-10C) Form Unchanged Repair queued
Form A-10B Emergency Significant Incident Report Addendum - UC Portal Version Form Unchanged Available
Form A-10B Emergency Significant Incident Report Addendum - UC Path Version Form Unchanged Available
Form A-10B Emergency Significant Incident Report Addendum (Form A-10B) Form Unchanged Repair queued
Form A-10A Emergency SIR and Addendum - UC Portal Version Form Unchanged Available
Form A-10A Emergency Significant Incident Report - UC Path Version Form Unchanged Available
Form A-10A Emergency Significant Incident Report (Form A-10A) Form Unchanged Repair queued
Form A-9 Event Report Form Unchanged Available
Form A-9 Event (Form A-9) Form Unchanged Repair queued
Form A-5s Authorization for Release of Records - Spanish Form Unchanged Available
Form A-5 Authorization for Release of Records Form Unchanged Available
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) Form Unchanged Repair queued
Form A-4s Notice to UC for Flores Visits - Spanish Form Unchanged Available
Form A-4 Notice to UC for Flores Visits Form Unchanged Available
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form Unchanged Repair queued
Form A-1A Care Provider Facility Tour Request Form Unchanged Available
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form Unchanged Repair queued
Nonsub Memo_0970-0547_Admin and Oversight_004_2022 01 18.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-01-18 Repair queued
Attachment A - Admin and Oversight (05.10.22) clean.docx Supplementary Document Uploaded 2022-05-16 Repair queued
Supporting Statement - Admin and Oversight (05.10.22) clean.docx Supporting Statement A Uploaded 2022-05-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
249481 Notification of Concern (Form A-7) Form ModifiedNotification of Concern
249481 Notification of Concern (Form A-7) Form Modified
249480 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form UnchangedAuthorization for Release of Records - Spanish
249480 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form UnchangedAuthorization for Release of Records
249480 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form Unchanged
241082 Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form UnchangedCare Provider Facility Tour Request
241082 Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form Unchanged
241079 ORR Waiver Request (Form A-15) Form UnchangedORR Waiver Request
241079 ORR Waiver Request (Form A-15) Form Unchanged
241078 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form UnchangedKey Personnel Qualification Checklist and Attestation
241078 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form Unchanged
241077 Program Level Event (Form A-10D) Form UnchangedProgram-Level Event Report and Addendum - UC Path Version
241077 Program Level Event (Form A-10D) Form UnchangedProgram-Level Event Report - UC Portal Version
241077 Program Level Event (Form A-10D) Form Unchanged
241076 Significant Incident Report (Form A-10C) Form UnchangedSignificant Incident Report - UC Portal Version
241076 Significant Incident Report (Form A-10C) Form UnchangedSignificant Incident Report - UC Path Version
241076 Significant Incident Report (Form A-10C) Form Unchanged
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form UnchangedEmergency Significant Incident Report Addendum - UC Portal Version
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form UnchangedEmergency Significant Incident Report Addendum - UC Path Version
241075 Emergency Significant Incident Report Addendum (Form A-10B) Form Unchanged
241074 Emergency Significant Incident Report (Form A-10A) Form UnchangedEmergency SIR and Addendum - UC Portal Version
241074 Emergency Significant Incident Report (Form A-10A) Form UnchangedEmergency Significant Incident Report - UC Path Version
241074 Emergency Significant Incident Report (Form A-10A) Form Unchanged
241073 Event (Form A-9) Form UnchangedEvent Report
241073 Event (Form A-9) Form Unchanged
241072 Authorization for Release of Records (Form A-5 & A-5s) Form UnchangedAuthorization for Release of Records - Spanish
241072 Authorization for Release of Records (Form A-5 & A-5s) Form UnchangedAuthorization for Release of Records
241072 Authorization for Release of Records (Form A-5 & A-5s) Form Unchanged
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form UnchangedNotice to UC for Flores Visits - Spanish
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form UnchangedNotice to UC for Flores Visits
241070 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form Unchanged
241067 Care Provider Facility Tour Request (Form A-1A) Form UnchangedCare Provider Facility Tour Request
241067 Care Provider Facility Tour Request (Form A-1A) Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2025 05/31/2025 05/31/2025
180,529 0 180,529
132,577 0 132,577
0 0 0





Reginfo record details
13
table that charts list of burden
IC Title Form No. Form Name
Authorization for Release of Records (Form A-5 & A-5s) A-5, A-5s ,  
Authorization for Release of Records (Form A-5 & A-5s) - Record keeping A-5, A-5s ,  
Care Provider Facility Tour Request (Form A-1A) A-1A
Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form A-1A
Emergency Significant Incident Report (Form A-10A) A-10A, A-10A ,  
Emergency Significant Incident Report Addendum (Form A-10B) A-10B, A-10B ,  
Event (Form A-9) A-9
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) A-14
Notice to UAC for Flores Visits (Forms A-4 & A-4s) A-4s, A-4 ,  
Notification of Concern (Form A-7) Form A-7
ORR Waiver Request (Form A-15) Form A-15
Program Level Event (Form A-10D) A-10D, A-10D ,  
Significant Incident Report (Form A-10C) A-10C, A-10C ,  



Reginfo record details
  No