Unaccompanied Alien Children Assessments for Children and Sponsors

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TBD Family Finding and Mobility Mapping	Form and Instruction	New	Available
Form TBD Family Finding and Mobility Mapping (TBD) - Clinician	Form and Instruction	New	Repair queued
Form TBD Family Finding and Mobility Mapping	Form and Instruction	New	Available
Form TBD Family Finding and Mobility Mapping (TBD) - Case Manager	Form and Instruction	New	Repair queued
Form TBD Family Finding and Mobility Mapping	Form and Instruction	New	Available
Form TBD Family Finding and Mobility Mapping (TBD) - Child	Form and Instruction	New	Repair queued
Form TBD Category 4 Reunification Case Review and Staffing	Form and Instruction	New	Available
Form TBD Category 4 Reunification Case Review and Staffing (TBD) - Clinician	Form and Instruction	New	Repair queued
Form TBD Category 4 Reunification Case Review and Staffing	Form and Instruction	New	Available
Form TBD Category 4 Reunification Case Review and Staffing (TBD) - Case Manager	Form and Instruction	New	Repair queued
Form S-13 Individual Service Plan	Form and Instruction	New	Available
Form S-13 Individual Service Plan (S-13) - Interpreter	Form and Instruction	New	Repair queued
Form S-13 Individual Service Plan	Form and Instruction	New	Available
Form S-13 Individual Service Plan (S-13) - Clinician	Form and Instruction	New	Repair queued
Form S-13 Individual Service Plan	Form and Instruction	New	Available
Form S-13 Individual Service Plan (S-13) - Case Manager	Form and Instruction	New	Repair queued
Form S-12 UAC Case Review	Form and Instruction	New	Available
Form S-12 UAC Case Review (S-12) - Unification Specialist	Form and Instruction	New	Missing upstream
Form S-12 UAC Case Review	Form and Instruction	New	Available
Form S-12 UAC Case Review (S-12) - Clinician	Form and Instruction	New	Repair queued
Form S-12 UAC Case Review	Form and Instruction	New	Available
Form S-12 UAC Case Review (S-12) - Case Manager	Form and Instruction	New	Repair queued
Form S-11 UAC Assessment	Form and Instruction	New	Available
Form S-11 UAC Assessment (S-11) - Interpreter	Form and Instruction	New	Repair queued
Form S-11 UAC Assessment	Form and Instruction	New	Available
Form S-11 UAC Assessment (S-11) - Child	Form and Instruction	New	Repair queued
Form S-11 UAC Assessment	Form and Instruction	New	Available
Form S-11 UAC Assessment (S-11) - Clinician	Form and Instruction	New	Repair queued
Form S-11 UAC Assessment	Form and Instruction	New	Available
Form S-11 UAC Assessment (S-11) - Case Manager	Form and Instruction	New	Repair queued
Form S-9 Assessment for Risk	Form and Instruction	New	Available
Form S-9 Assessment for Risk (S-9) - Interpreter	Form and Instruction	New	Repair queued
Form S-9 Assessment for Risk	Form and Instruction	New	Available
Form S-9 Assessment for Risk (S-9) - Child	Form and Instruction	New	Repair queued
Form S-9 Assessment for Risk	Form and Instruction	New	Available
Form S-9 Assessment for Risk (S-9) - Clinician	Form and Instruction	New	Missing upstream
Form S-9 Assessment for Risk	Form and Instruction	New	Repair queued
Form S-9 Assessment for Risk (S-9) - Case Manager	Form and Instruction	New	Repair queued
Form S-8 Initial Assessment	Form and Instruction	New	Available
Form S-8 Initial Assessment (S-8) - Interpreter	Form and Instruction	New	Missing upstream
Form S-8 Initial Assessment	Form and Instruction	New	Available
Form S-8 Initial Assessment (S-8) - Child	Form and Instruction	New	Missing upstream
Form S-8 Initial Assessment	Form and Instruction	New	Available
Form S-8 Initial Assessment (S-8) - Clinician	Form and Instruction	New	Repair queued
Form S-8 Initial Assessment	Form and Instruction	New	Available
Form S-8 Initial Assessment (S-8) - Case Manager	Form and Instruction	New	Repair queued
Form S-7 Adult Contact Profile	Form and Instruction	New	Available
Form S-7 Adult Contact Profile (S-7) - Unification Specialist	Form and Instruction	New	Missing upstream
Form S-5 Sponsor Assessment	Form and Instruction	New	Available
Form S-5 Sponsor Assessment (S-5) - Interpreter	Form and Instruction	New	Missing upstream
Form S-5 Sponsor Assessment	Form and Instruction	New	Available
Form S-5 Sponsor Assessment (S-5) - Unification Specialist	Form and Instruction	New	Repair queued
Form S-5 Sponsor Assessment	Form and Instruction	New	Available
Form S-5 Sponsor Assessment (S-5) - Case Manager	Form and Instruction	New	Missing upstream
Form S-5 Sponsor Assessment	Form and Instruction	New	Available
Form S-5 Sponsor Assessment (S-5) - Sponsor	Form and Instruction	New	Repair queued
SSA Attachment B_0970-NEW_Assessments_v.3.0_OGC_DUACP_Adjudicated_2025.08.04.docx	Supplementary Document	Uploaded 2025-08-22	Available
2025_06_24_YC Comment on Proposed Sponsor Forms.pdf	Public Comments	Uploaded 2025-06-24	Repair queued
PC_202504-0970-010_062425_072949_1.pdf	Public Comments	Uploaded 2025-06-24	Available
Supporting Statement Attachment A - Summary Responses to NEW Assessments IC Public Comment FINAL_v.2.0_2025.04.05 - CLEAN.docx	Supplementary Document	Uploaded 2025-04-15	Available
Supporting Statement Attachment A - Summary Responses to NEW Assessments IC Public Comment FINAL_v.2.0_2025.04.05 - CLEAN.docx	Supplementary Document	Uploaded 2025-04-15	Repair queued
SSA_0970-NEW_Unaccompanied Alien Children Assessments for Children and Sponsors_v.4.0_2025.04.07 - CLEAN.docx	Supporting Statement A	Uploaded 2025-04-15	Available
SSA_0970-NEW_Unaccompanied Alien Children Assessments for Children and Sponsors_v.4.0_2025.04.07 - CLEAN.docx	Supporting Statement A	Uploaded 2025-04-15	Repair queued
2025.02.18 Lucas R. Comment re Sponsor Assessment.pdf	Public Comments	Uploaded 2025-02-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
274910	Family Finding and Mobility Mapping (TBD) - Clinician	Form and Instruction	New	Family Finding and Mobility Mapping
274910	Family Finding and Mobility Mapping (TBD) - Clinician	Form and Instruction	New
274909	Family Finding and Mobility Mapping (TBD) - Case Manager	Form and Instruction	New	Family Finding and Mobility Mapping
274909	Family Finding and Mobility Mapping (TBD) - Case Manager	Form and Instruction	New
274908	Family Finding and Mobility Mapping (TBD) - Child	Form and Instruction	New	Family Finding and Mobility Mapping
274908	Family Finding and Mobility Mapping (TBD) - Child	Form and Instruction	New
274907	Category 4 Reunification Case Review and Staffing (TBD) - Clinician	Form and Instruction	New	Category 4 Reunification Case Review and Staffing
274907	Category 4 Reunification Case Review and Staffing (TBD) - Clinician	Form and Instruction	New
274906	Category 4 Reunification Case Review and Staffing (TBD) - Case Manager	Form and Instruction	New	Category 4 Reunification Case Review and Staffing
274906	Category 4 Reunification Case Review and Staffing (TBD) - Case Manager	Form and Instruction	New
274905	Individual Service Plan (S-13) - Interpreter	Form and Instruction	New	Individual Service Plan
274905	Individual Service Plan (S-13) - Interpreter	Form and Instruction	New
274904	Individual Service Plan (S-13) - Clinician	Form and Instruction	New	Individual Service Plan
274904	Individual Service Plan (S-13) - Clinician	Form and Instruction	New
274903	Individual Service Plan (S-13) - Case Manager	Form and Instruction	New	Individual Service Plan
274903	Individual Service Plan (S-13) - Case Manager	Form and Instruction	New
274901	UAC Case Review (S-12) - Unification Specialist	Form and Instruction	New	UAC Case Review
274901	UAC Case Review (S-12) - Unification Specialist	Form and Instruction	New
274900	UAC Case Review (S-12) - Clinician	Form and Instruction	New	UAC Case Review
274900	UAC Case Review (S-12) - Clinician	Form and Instruction	New
274899	UAC Case Review (S-12) - Case Manager	Form and Instruction	New	UAC Case Review
274899	UAC Case Review (S-12) - Case Manager	Form and Instruction	New
274898	UAC Assessment (S-11) - Interpreter	Form and Instruction	New	UAC Assessment
274898	UAC Assessment (S-11) - Interpreter	Form and Instruction	New
274897	UAC Assessment (S-11) - Child	Form and Instruction	New	UAC Assessment
274897	UAC Assessment (S-11) - Child	Form and Instruction	New
274896	UAC Assessment (S-11) - Clinician	Form and Instruction	New	UAC Assessment
274896	UAC Assessment (S-11) - Clinician	Form and Instruction	New
274895	UAC Assessment (S-11) - Case Manager	Form and Instruction	New	UAC Assessment
274895	UAC Assessment (S-11) - Case Manager	Form and Instruction	New
274890	Assessment for Risk (S-9) - Interpreter	Form and Instruction	New	Assessment for Risk
274890	Assessment for Risk (S-9) - Interpreter	Form and Instruction	New
274889	Assessment for Risk (S-9) - Child	Form and Instruction	New	Assessment for Risk
274889	Assessment for Risk (S-9) - Child	Form and Instruction	New
274888	Assessment for Risk (S-9) - Clinician	Form and Instruction	New	Assessment for Risk
274888	Assessment for Risk (S-9) - Clinician	Form and Instruction	New
274887	Assessment for Risk (S-9) - Case Manager	Form and Instruction	New	Assessment for Risk
274887	Assessment for Risk (S-9) - Case Manager	Form and Instruction	New
274885	Initial Assessment (S-8) - Interpreter	Form and Instruction	New	Initial Assessment
274885	Initial Assessment (S-8) - Interpreter	Form and Instruction	New
274884	Initial Assessment (S-8) - Child	Form and Instruction	New	Initial Assessment
274884	Initial Assessment (S-8) - Child	Form and Instruction	New
274883	Initial Assessment (S-8) - Clinician	Form and Instruction	New	Initial Assessment
274883	Initial Assessment (S-8) - Clinician	Form and Instruction	New
274882	Initial Assessment (S-8) - Case Manager	Form and Instruction	New	Initial Assessment
274882	Initial Assessment (S-8) - Case Manager	Form and Instruction	New
274881	Adult Contact Profile (S-7) - Unification Specialist	Form and Instruction	New	Adult Contact Profile
274881	Adult Contact Profile (S-7) - Unification Specialist	Form and Instruction	New
274880	Sponsor Assessment (S-5) - Interpreter	Form and Instruction	New	Sponsor Assessment
274880	Sponsor Assessment (S-5) - Interpreter	Form and Instruction	New
274879	Sponsor Assessment (S-5) - Unification Specialist	Form and Instruction	New	Sponsor Assessment
274879	Sponsor Assessment (S-5) - Unification Specialist	Form and Instruction	New
274878	Sponsor Assessment (S-5) - Case Manager	Form and Instruction	New	Sponsor Assessment
274878	Sponsor Assessment (S-5) - Case Manager	Form and Instruction	New
274877	Sponsor Assessment (S-5) - Sponsor	Form and Instruction	New	Sponsor Assessment
274877	Sponsor Assessment (S-5) - Sponsor	Form and Instruction	New

ICR Details

OMB Control No: 0970-0646	ICR Reference No: 202504-0970-010
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR - UAC Bureau
Title: Unaccompanied Alien Children Assessments for Children and Sponsors
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: 08/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved
Responses	1,394,640	0	0
Time Burden (Hours)	1,355,586	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: 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 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 care facilities and must meet ORR requirements to ensure a high-level quality of care. In order to adequately provide for the safety and wellbeing of children in ORR care, ORR conducts assessments of the child upon admission and at routine intervals while in ORR custody. Concurrently, ORR must identify and assess the suitability of potential sponsors and household members to ensure safe and timely release of the child to vetted and adult, qualified to provide for the child’s physical and emotional wellbeing. ORR uses several instruments to carry out its responsibilities with respect to UAC. These instruments are used, for example, to evaluate the child’s physical and mental health status, capture important biographic data, determine risk of sexual abuse or victimization, and enable ORR to track high-level milestones in the child’s case up through release. ORR has also developed an instrument to identify and screen potential sponsors. The instruments in this proposed information collection allow ORR to document the findings of these assessments as required by the Homeland Security Act of 2002 (6 U.S.C. 279); the Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232); the Foundational Rule, 45 C.F.R. Part 410; and the Prevention of Sexual Abuse Interim Final Rule, 45 C.F.R. Part 411. Forms transferred from the Services information collection (OMB # 0970-0553) were last approved by OMB on August 22, 2024 and expire on April 30, 2025. Once approved, the Assessments information collection will contain a total of 9 unique, revised forms.

---

Authorizing Statute(s): US Code: 8 USC 1232 Name of Law: William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
   US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 106485	12/30/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 22296	05/27/2025
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 28

table that charts list of burden

IC Title	Form No.	Form Name
Adult Contact Profile (S-7) - Unification Specialist	S-7	Adult Contact Profile
Assessment for Risk (S-9) - Case Manager	S-9	Assessment for Risk
Assessment for Risk (S-9) - Child	S-9	Assessment for Risk
Assessment for Risk (S-9) - Clinician	S-9	Assessment for Risk
Assessment for Risk (S-9) - Interpreter	S-9	Assessment for Risk
Category 4 Reunification Case Review and Staffing (TBD) - Case Manager	TBD	Category 4 Reunification Case Review and Staffing
Category 4 Reunification Case Review and Staffing (TBD) - Clinician	TBD	Category 4 Reunification Case Review and Staffing
Family Finding and Mobility Mapping (TBD) - Case Manager	TBD	Family Finding and Mobility Mapping
Family Finding and Mobility Mapping (TBD) - Child	TBD	Family Finding and Mobility Mapping
Family Finding and Mobility Mapping (TBD) - Clinician	TBD	Family Finding and Mobility Mapping
Individual Service Plan (S-13) - Case Manager	S-13	Individual Service Plan
Individual Service Plan (S-13) - Clinician	S-13	Individual Service Plan
Individual Service Plan (S-13) - Interpreter	S-13	Individual Service Plan
Initial Assessment (S-8) - Case Manager	S-8	Initial Assessment
Initial Assessment (S-8) - Child	S-8	Initial Assessment
Initial Assessment (S-8) - Clinician	S-8	Initial Assessment
Initial Assessment (S-8) - Interpreter	S-8	Initial Assessment
Sponsor Assessment (S-5) - Case Manager	S-5	Sponsor Assessment
Sponsor Assessment (S-5) - Interpreter	S-5	Sponsor Assessment
Sponsor Assessment (S-5) - Sponsor	S-5	Sponsor Assessment
Sponsor Assessment (S-5) - Unification Specialist	S-5	Sponsor Assessment
UAC Assessment (S-11) - Case Manager	S-11	UAC Assessment
UAC Assessment (S-11) - Child	S-11	UAC Assessment
UAC Assessment (S-11) - Clinician	S-11	UAC Assessment
UAC Assessment (S-11) - Interpreter	S-11	UAC Assessment
UAC Case Review (S-12) - Case Manager	S-12	UAC Case Review
UAC Case Review (S-12) - Clinician	S-12	UAC Case Review
UAC Case Review (S-12) - Unification Specialist	S-12	UAC Case Review

---

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	1,394,640	0	0	1,394,640	0	0
Annual Time Burden (Hours)	1,355,586	0	0	1,355,586	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: The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau has undertaken a reorganization of its information collections with the goal of promoting operational efficiency for the UACB by creating more unique information collections with fewer total forms under each OMB number. This will reduce the burden associated with renewing large collections and clarify future requests for modifications and renewals under these narrower purpose-specific collections. This package pertains to the creation of a new information collection: Unaccompanied Alien Children Assessments for Children and Sponsors (OMB #0970-NEW) Under this application for, ORR proposes to revise and transfer seven existing forms currently approved under the Services Provided to Unaccompanied Alien Children (OMB# 0970-0553) information collection, as well as the creation of two new instruments.

---

Annual Cost to Federal Government: $36,995,476

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.     Yes

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

---

Common Form ICR:  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:

(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: 05/28/2025

---