Information Collection

Office of Refugee Resettlement Monitoring of the Status of Required Licensure for Residential Care Providers

IC 262696 under ICR 202310-0970-004 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final Instrument for Generic Monitoring Form_12.19_mj 1.4.23 ln .docx	Instruction
Final Instrument for Generic Monitoring Form_12.19_mj 1.4.23 ln .docx	Instruction
Submission Template for Monitoring Generic _0970-0558_ UC Program ORR_updated 12.19_fnl clean.docx GenIC - ORR Monitoring the Status of Required Licensure	IC Document
Submission Template for Monitoring Generic _0970-0558_ UC Program ORR_updated 12.19_fnl clean.docx GenIC - ORR Monitoring the Status of Required Licensure	IC Document
NOA_GenIC_Licensure_0970-0558_3.3.23.pdf NOA - ORR Monitoring the Status of Required Licensure	IC Document
NOA_GenIC_Licensure_0970-0558_3.3.23.pdf NOA - ORR Monitoring the Status of Required Licensure	IC Document

IC Title:

Office of Refugee Resettlement Monitoring of the Status of Required Licensure for Residential Care Providers

Agency IC Tracking Number:

ORR - UC

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Final Instrument for Generic Monitoring Form_12.19_mj 1.4.23 ln .docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC - ORR Monitoring the Status of Required Licensure	Submission Template for Monitoring Generic _0970-0558_ UC Program ORR_updated 12.19_fnl clean.docx	10/04/2023
NOA - ORR Monitoring the Status of Required Licensure	NOA_GenIC_Licensure_0970-0558_3.3.23.pdf	10/04/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.