Immigration Legal Services – Eligible Afghan Arrivals Intake Form and Interview

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Script - Opening Closing EAA Intake Calls - with No Interpreter_mj_al-clean.docx	Supplementary Document	Uploaded 2024-03-28	Repair queued
Script - Opening & Closing EAA Intake Calls - with Interpreter_clean.docx	Supplementary Document	Uploaded 2024-03-28	Repair queued
Supporting Statement A - ILSAA Eligible Afghan Arrivals Intake Form and Interview_fnl clean.docx	Supporting Statement A	Uploaded 2024-03-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
266373	EAA Intake Interview	Other-Interview Protocol	New
266372	EAA Intake Form	Other-Intake Form	New

ICR Details

OMB Control No: 0970-0631	ICR Reference No: 202403-0970-018
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Immigration Legal Services – Eligible Afghan Arrivals Intake Form and Interview
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/07/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/01/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved
Responses	3,600	0	0
Time Burden (Hours)	1,360	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for two information collections that support the Office of Refugee Resettlement’s (ORR) efforts to ensure Eligible Afghan Arrivals (EAA) across the country receive quality legal services as part of ORR’s Immigration Legal Services for Afghan Arrivals (ILSAA) program. Broadly, ORR’s programs provide people in need with critical resources to assist them in becoming integrated members of American society. ILSAA is a service funded by ORR that is dedicated to providing new populations with the opportunity to achieve their full potential in the United States. More specifically, ILSAA provides immigration legal services to EAAs across the country and helps build the capacity of immigration legal service providers. ILSAA is implemented by the U.S. Committee for Refugees and Immigrants (USCRI) and ICF. This request is for the ILSAA EAA Intake Form and Intake Interview. The information collected would be used solely by ILSAA and is necessary to provide ILSAA with information to verify eligibility of the Afghan applicant to receive program services.

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Authorizing Statute(s): PL: Pub.L. 117 - 70 Division B, Title III Name of Law: Further Extending Government Funding Act
   PL: Pub.L. 113 - 42 Division C, Title III Name of Law: Extending Government Funding and Delivering Emergency Assistance 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:
	88 FR 89697	12/28/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 22408	04/01/2024
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
EAA Intake Form
EAA Intake Interview

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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	3,600	0	0	3,600	0	0
Annual Time Burden (Hours)	1,360	0	0	1,360	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $92,738

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.     Yes

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.     No

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: 04/01/2024

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