Information Collection Request

Services Provided to Unaccompanied Alien Children

ICR 202504-0970-004 · OMB 0970-0553 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form S-26 HS Referral - UC Portal Form and Instruction Removed Available
Form S-26 Home Study Referral (Form S-26) Form and Instruction Removed Repair queued
Form Form S-27 UAC Case Status Form and Instruction Modified Available
Form Form S-27 UAC Case Status (Form S-27) Form and Instruction Modified Repair queued
Form S-24 Sponsor Application Form and Instruction Removed Available
Form S-24 Sponsor Application (Form S-24) Form and Instruction Removed Repair queued
Form S-23 Case Manager Call Log and Case Notes Form and Instruction Modified Repair queued
Form S-23 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction Modified Repair queued
Form S-22 Post-Release Service (PRS) Event Form and Instruction Removed Available
Form S-22 Post-Release Service (PRS) Event (Form S-22) Form and Instruction Removed Repair queued
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile Form and Instruction Removed Available
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction Removed Repair queued
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile Form and Instruction Removed Available
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction Removed Repair queued
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity Form and Instruction Removed Available
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction Removed Repair queued
Form S-21A HS-PRS Primary Provider Entity Form and Instruction Removed Available
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction Removed Repair queued
Form S-20 UAC Authorized/ Restricted Call List and Call Log (Form S-20) Form and Instruction Modified Available
Form S-20 UAC Authorized/ Restricted Call List and Call Log (Form S-20) Form and Instruction Modified Repair queued
Form Form S-19 PRS Referral Appendix - PRS Administrative Actions Form and Instruction Removed Available
Form S-19 PRS Referral - UC Portal Form and Instruction Removed Available
Form S-19 Post-Release Service (PRS) Referral (Form S-19) Form and Instruction Removed Repair queued
Form S-18 Admission Form and Instruction Modified Available
Form S-18 Admission (Form S-18) Form and Instruction Modified Repair queued
Form S-15 Child Advocate Recommendation and Appointment Form and Instruction Removed Available
Form S-15 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction Removed Repair queued
Form S-14 Long Term Foster Care Travel Request - UC Path Version Form and Instruction Modified Available
Form S-14 Foster Care Travel Request (Form S-14) Form and Instruction Modified Available
Form S-13 Individual Service Plan - UC Portal Version Form and Instruction Removed Available
Form S-13 Individual Service Plan - UC Path Version Form and Instruction Removed Available
Form S-13 Individual Service Plan (Form S-13) Form and Instruction Removed Repair queued
Form S-12 UC Case Review - UC Portal Version Form and Instruction Removed Available
Form S-12 UC Case Review - UC Path Version Form and Instruction Removed Available
Form S-12 UC Case Review (Form S-12) Form and Instruction Removed Repair queued
Form S-11 UC Assessment - UC Portal Version Form and Instruction Removed Available
Form S-11 UC Assessment - UC Path Version Form and Instruction Removed Available
Form S-11 UC Assessment (Form S-11) Form and Instruction Removed Repair queued
Form S-9 Assessment for Risk - UC Portal Version Form and Instruction Removed Available
Form S-9 Assessment for Risk - UC Path Version Form and Instruction Removed Available
Form S-9 Assessment for Risk (Form S-9) Form and Instruction Removed Repair queued
Form S-8 Initial Intakes Assessment - UC Portal Version Form and Instruction Removed Available
Form S-8 Initial Intakes Assessment (Form S-8) - UC Path Version Form and Instruction Removed Available
Form S-8 Initial Intakes Assessment (Form S-8) Form and Instruction Removed Repair queued
Form S-5 Sponsor Assessment - New UC Portal Form and Instruction Removed Available
Form S-7 Adult Contact Profile Form and Instruction Removed Available
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction Removed Repair queued
Form S-6 Home Study Assessment - Word Version Form and Instruction Removed Repair queued
Form S-6 Home Study Assessment - UC Path Version Form and Instruction Removed Repair queued
Form S-6 Home Study Assessment (Form S-6) Form and Instruction Removed Missing upstream
Form S-5 Sponsor Assessment - New UC Portal Form and Instruction Removed Available
Form S-5 Sponsor Assessment - UC Path Version Form and Instruction Removed Available
Form S-5 Sponsor Assessment (Form S-5) Form and Instruction Removed Repair queued
SSA_0970-0553_Services Provided to Unaccompanied Children_v.4.0_2025.04.07 - OPRE CLEAN.docx Supporting Statement A Uploaded 2025-04-14 Repair queued
SSA_0970-0553_Services Provided to Unaccompanied Children_v.4.0_2025.04.07 - OPRE CLEAN.docx Supporting Statement A Uploaded 2025-04-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
270296 Home Study Referral (Form S-26) Form and Instruction RemovedHS Referral - UC Portal
270296 Home Study Referral (Form S-26) Form and Instruction Removed
249583 UAC Case Status (Form S-27) Form and Instruction ModifiedUAC Case Status
249583 UAC Case Status (Form S-27) Form and Instruction Modified
249581 Sponsor Application (Form S-24) Form and Instruction RemovedSponsor Application
249581 Sponsor Application (Form S-24) Form and Instruction Removed
249580 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction ModifiedCase Manager Call Log and Case Notes
249580 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction Modified
249579 Post-Release Service (PRS) Event (Form S-22) Form and Instruction RemovedPost-Release Service (PRS) Event
249579 Post-Release Service (PRS) Event (Form S-22) Form and Instruction Removed
249578 Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction RemovedHome Study/Post-Release Service (HS/PRS) Subcontractor Profile
249578 Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction Removed
249577 Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction RemovedHome Study/Post-Release Service (HS/PRS) Primary Provider Profile
249577 Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction Removed
249576 Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction RemovedHome Study/Post-Release Service (HS/PRS) Subcontractor Entity
249576 Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction Removed
249575 Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction RemovedHS-PRS Primary Provider Entity
249575 Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction Removed
249574 UAC Authorized/ Restricted Call List and Call Log (Form S-20) Form and Instruction ModifiedUAC Authorized/ Restricted Call List and Call Log (Form S-20)
249574 UAC Authorized/ Restricted Call List and Call Log (Form S-20) Form and Instruction Modified
249573 Post-Release Service (PRS) Referral (Form S-19) Form and Instruction RemovedPRS Referral Appendix - PRS Administrative Actions
249573 Post-Release Service (PRS) Referral (Form S-19) Form and Instruction RemovedPRS Referral - UC Portal
249573 Post-Release Service (PRS) Referral (Form S-19) Form and Instruction Removed
242815 Admission (Form S-18) Form and Instruction ModifiedAdmission
242815 Admission (Form S-18) Form and Instruction Modified
242813 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction RemovedChild Advocate Recommendation and Appointment
242813 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction Removed
242812 Foster Care Travel Request (Form S-14) Form and Instruction ModifiedLong Term Foster Care Travel Request - UC Path Version
242812 Foster Care Travel Request (Form S-14) Form and Instruction Modified
242811 Individual Service Plan (Form S-13) Form and Instruction RemovedIndividual Service Plan - UC Portal Version
242811 Individual Service Plan (Form S-13) Form and Instruction RemovedIndividual Service Plan - UC Path Version
242811 Individual Service Plan (Form S-13) Form and Instruction Removed
242810 UC Case Review (Form S-12) Form and Instruction RemovedUC Case Review - UC Portal Version
242810 UC Case Review (Form S-12) Form and Instruction RemovedUC Case Review - UC Path Version
242810 UC Case Review (Form S-12) Form and Instruction Removed
242809 UC Assessment (Form S-11) Form and Instruction RemovedUC Assessment - UC Portal Version
242809 UC Assessment (Form S-11) Form and Instruction RemovedUC Assessment - UC Path Version
242809 UC Assessment (Form S-11) Form and Instruction Removed
242808 Assessment for Risk (Form S-9) Form and Instruction RemovedAssessment for Risk - UC Portal Version
242808 Assessment for Risk (Form S-9) Form and Instruction RemovedAssessment for Risk - UC Path Version
242808 Assessment for Risk (Form S-9) Form and Instruction Removed
242807 Initial Intakes Assessment (Form S-8) Form and Instruction RemovedInitial Intakes Assessment - UC Portal Version
242807 Initial Intakes Assessment (Form S-8) Form and Instruction RemovedInitial Intakes Assessment (Form S-8) - UC Path Version
242807 Initial Intakes Assessment (Form S-8) Form and Instruction Removed
242806 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction RemovedSponsor Assessment - New UC Portal
242806 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction RemovedAdult Contact Profile
242806 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction Removed
242805 Home Study Assessment (Form S-6) Form and Instruction RemovedHome Study Assessment - Word Version
242805 Home Study Assessment (Form S-6) Form and Instruction RemovedHome Study Assessment - UC Path Version
242805 Home Study Assessment (Form S-6) Form and Instruction Removed
242804 Sponsor Assessment (Form S-5) Form and Instruction RemovedSponsor Assessment - New UC Portal
242804 Sponsor Assessment (Form S-5) Form and Instruction RemovedSponsor Assessment - UC Path Version
242804 Sponsor Assessment (Form S-5) Form and Instruction Removed
ICR Details
0970-0553 202504-0970-004
Historical Active 202408-0970-008
HHS/ACF ORR - UAC Bureau
Services Provided to Unaccompanied Alien Children
Revision of a currently approved collection   No
Regular
Approved without change 06/09/2025
Retrieve Notice of Action (NOA) 04/30/2025
  Inventory as of this Action Requested Previously Approved
06/30/2028 36 Months From Approved 06/30/2025
275,304 0 4,438,452
51,900 0 1,206,453
0 0 0

The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau provides care and custody for unaccompanied alien children until they can be safely released to a vetted sponsor, repatriated to their home country, or obtain lawful immigration status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody. Generally, care provider facilities are State- licensed, except those located in states unwilling to consider them for licensure and temporary Emergency or Influx (EIF) facilities. In both cases, such facilities must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management. ORR uses several instruments directly related to the care of unaccompanied alien children. The instruments in this information collection allow ORR to provide services to unaccompanied alien children as required by the Homeland Security Act (HSA) (6 U.S.C. 279), the Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA) (8 U.S.C. 1232), the recently published Unaccompanied Children Program Foundational Rule, (45 C.F.R. 410), as well as other ORR regulations (i.e., 45 C.F.R. parts 411 and 412), and the provisions of the Flores Settlement Agreement (No. CV85-4544-RJK (C.D. Cal. 1996)) that still apply to HHS.1 The collection was last approved by OMB on April 21, 2022, and expires on April 30, 2025. The collection currently contains 22 instruments, including 33 alternative versions. Upon completion of this revision request, which removes six forms and the transfers ten forms to two new information collections, this collection will contain 5 unique, revised instruments

US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   US Code: 8 USC 1232 Name of Law: Trafficking Victims Protection Reauthorization Act of 2008
  
None

Not associated with rulemaking

  89 FR 92941 11/25/2024
90 FR 17821 04/29/2025
No

5
IC Title Form No. Form Name
Admission (Form S-18) S-18 Admission
Adult Contact Profile (Portal Form S-5; Path Form S-7) S-7, S-5 Adult Contact Profile ,   Sponsor Assessment - New UC Portal
Assessment for Risk (Form S-9) S-9, S-9 Assessment for Risk - UC Path Version ,   Assessment for Risk - UC Portal Version
Case Manager Call Log and Case Notes (Form S-23) S-23 Case Manager Call Log and Case Notes
Child Advocate Recommendation and Appointment (Form S-15) S-15 Child Advocate Recommendation and Appointment
Foster Care Travel Request (Form S-14) S-14 Long Term Foster Care Travel Request - UC Path Version
Home Study Assessment (Form S-6) S-6, S-6 Home Study Assessment - UC Path Version ,   Home Study Assessment - Word Version
Home Study Referral (Form S-26) S-26 HS Referral - UC Portal
Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) S-21A HS-PRS Primary Provider Entity
Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile
Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity
Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile
Individual Service Plan (Form S-13) S-13, S-13 Individual Service Plan - UC Path Version ,   Individual Service Plan - UC Portal Version
Initial Intakes Assessment (Form S-8) S-8, S-8 Initial Intakes Assessment (Form S-8) - UC Path Version ,   Initial Intakes Assessment - UC Portal Version
Post-Release Service (PRS) Event (Form S-22) S-22 Post-Release Service (PRS) Event
Post-Release Service (PRS) Referral (Form S-19) S-19, Form S-19 PRS Referral - UC Portal ,   PRS Referral Appendix - PRS Administrative Actions
Sponsor Application (Form S-24) S-24 Sponsor Application
Sponsor Assessment (Form S-5) S-5, S-5 Sponsor Assessment - UC Path Version ,   Sponsor Assessment - New UC Portal
UAC Authorized/ Restricted Call List and Call Log (Form S-20) S-20 UAC Authorized/ Restricted Call List and Call Log (Form S-20)
UAC Case Status (Form S-27) Form S-27 UAC Case Status
UC Assessment (Form S-11) S-11, S-11 UC Assessment - UC Path Version ,   UC Assessment - UC Portal Version
UC Case Review (Form S-12) S-12, S-12 UC Case Review - UC Path Version ,   UC Case Review - UC Portal Version

  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 275,304 4,438,452 0 -4,163,148 0 0
Annual Time Burden (Hours) 51,900 1,206,453 0 -1,154,553 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Under this application for renewal, ORR proposes revisions to five forms, the removal of six forms, and the transfer of ten forms to two new information collections titled Unaccompanied Alien Children Bureau Assessments of Children and Sponsors (OMB 0970 – NEW) and Home Study and Post-Release Services Provided to Unaccompanied Alien Children (OMB 0970 – NEW), which are detailed separately in concurrent substantive packages. Additionally, on October 24, 2024, ORR submitted a request for revisions to forms approved under the Legal and Advocacy Services for Unaccompanied Alien Children collection (OMB 0970-0565) in which ORR also proposed transferring the Child Advocate Recommendation and Appointment (Form S-15) previously approved under this collection; the request is currently pending a decision before OMB.

$1,531,207,125
No
    Yes
    Yes
No
No
No
Yes
Molly Buck 202 205-4724 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/30/2025