Information Collection Request
Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form
ICR 202305-0970-009 · OMB 0970-0550 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0550 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 Withdrawal of Application or Declination of Placement Form |
Form | Modified | Repair queued |
| Form 1 Unaccompanied Refugee Minors Program Application |
Form | Modified | Repair queued |
 Supporting Statement A - URM Program Application_mj_clean.docx |
Supporting Statement A | Uploaded 2023-05-15 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 241922 |  Withdrawal of Application or Declination of Placement Form |
Form | Modified | |
| 241921 | Unaccompanied Refugee Minors Program Application |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0550 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202206-0970-012 |
| Agency Tracking No | ORR |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |