Administration and Oversight of the Unaccompanied Children Program

ICR 202306-0970-014

OMB: 0970-0547

Federal Form Document

Forms and Documents

Document Name	Status
Form A-9E Behavioral Note (Form A-9E) Form	New
Form A-9D Historical Disclosure (Form A-9D) Form	New
Form Form A-7 Notification of Concern (Form A-7) Form	Unchanged
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form	Unchanged
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form	Unchanged
Form Form A-15 ORR Waiver Request (Form A-15) Form	Unchanged
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form	Unchanged
Form A-10 Program Level Event (Form A-10) Form	Modified
Form A-10C Significant Incident Report (Form A-10C) Form	Removed
Form A-9C Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form	Modified
Form A-9B Emergency Significant Incident Report (Form A-9B) Form	Modified
Form A-9A Child-Level Event (Form A-9A) Form	Modified
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) Form	Unchanged
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form	Unchanged
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form	Unchanged
Nonsub Memo_0970-0547_Admin and Oversight_005_2023 05 31.docx Justification for No Material/Nonsubstantive Change	2023-06-29
Nonsub Memo_0970-0547_Admin and Oversight_004_2023 04 11.docx Justification for No Material/Nonsubstantive Change	2023-04-11
Attachment A - Admin and Oversight (05.10.22) clean.docx Supplementary Document	2022-05-16
SSA_0970-0547_Admin and Oversight_005_2023 06 29 CLEAN.docx Supporting Statement A	2023-06-29

IC Document Collections

IC ID	Document Title	Status
260907	Behavioral Note (Form A-9E) Form	New
260906	Historical Disclosure (Form A-9D) Form	New
249481	Notification of Concern (Form A-7) Form	Unchanged
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	Unchanged
241079	ORR Waiver Request (Form A-15) Form	Unchanged
241078	Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form	Unchanged
241077	Program Level Event (Form A-10) Form	Modified
241076	Significant Incident Report (Form A-10C) Form	Removed
241075	Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form	Modified
241074	Emergency Significant Incident Report (Form A-9B) Form	Modified
241073	Child-Level Event (Form A-9A) Form	Modified
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	Unchanged
241067	Care Provider Facility Tour Request (Form A-1A) Form	Unchanged