Home Study and Post-Release Services for Unaccompanied Alien Children

Forms and Documents

Document Name	Status
Form R-6 Virtual Check-in Questionnaire (Form R-6) – Post-Release Service Provider Form and Instruction	New
Form R-6 Virtual Check-in Questionnaire (Form R-6) - Child Form and Instruction	New
Form R-6 Virtual Check-in Questionnaire (Form R-6) - Sponsor Form and Instruction	New
Form Form S-26 Home Study Referral (Form S-26)- Care Provider Case Managers Form and Instruction	New
Form Form S-22 Post-Release Services Report (Form S-22) – Post-Release Service Caseworkers Form and Instruction	New
Form A-19 Post-Release Services Referral (Form S-19) - Care Provider Case Managers Form and Instruction	New
Form A-6 Home Study Assessment (Form S-6) – Home Study Providers Form and Instruction	New
Form A-7 Notification of Concern (Form A-7) - ORR NCC Call Specialist Form and Instruction	New
Form A-7 Notification of Concern (Form A-7) - Care Provider Case Manager Form and Instruction	New
Form A-7 Notification of Concern (Form A-7) – Home Study/ Post-Release Services Caseworker Form and Instruction	New
Supporting Statement Attachment A - Summary Responses to NEW HSPRS IC Public Comment OGC Revised_v.2.0_2025.04.08 - CLEAN.docx Supplementary Document	2025-04-15
Supporting Statement A NEW Home Study and Post-Release Services IC_OGC_OPRE_Revised v.4.0_2025.04.09 - CLEAN.docx Supporting Statement A	2025-04-15

IC Document Collections

IC ID	Document Title	Status
274875	Virtual Check-in Questionnaire (Form R-6) – Post-Release Service Provider Form and Instruction	New
274874	Virtual Check-in Questionnaire (Form R-6) - Child Form and Instruction	New
274873	Virtual Check-in Questionnaire (Form R-6) - Sponsor Form and Instruction	New
274872	Home Study Referral (Form S-26)- Care Provider Case Managers Form and Instruction	New
274857	Post-Release Services Report (Form S-22) – Post-Release Service Caseworkers Form and Instruction	New
274843	Post-Release Services Referral (Form S-19) - Care Provider Case Managers Form and Instruction	New
274842	Home Study Assessment (Form S-6) – Home Study Providers Form and Instruction	New
274841	Notification of Concern (Form A-7) - ORR NCC Call Specialist Form and Instruction	New
274840	Notification of Concern (Form A-7) - Care Provider Case Manager Form and Instruction	New
274837	Notification of Concern (Form A-7) – Home Study/ Post-Release Services Caseworker Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202504-0970-011
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR - UAC Bureau
Title: Home Study and Post-Release Services for Unaccompanied Alien Children
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/28/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	890,718	0
Time Burden (Hours)	459,407	0
Cost Burden (Dollars)	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 while also working to identify and evaluate potential sponsors to take custody of the children post-release. In order to adequately evaluate the suitability of a sponsor and the standard of care they are likely to provide in cases where a child is deemed to be particularly vulnerable due to their age, a medical diagnosis, disability status, trafficking victim status, or other safety concern, ORR will conduct a home-study with the sponsor. An ORR home study includes interviews with the potential sponsor and other household members, as well as an investigation of the living conditions in which the unaccompanied alien child would be placed and occurs prior to the child's physical release. Upon release to the sponsor, and subject to available appropriations, ORR offers post-release services to all cases that have undergone a home study. Post-release services connect sponsors and children with community-based supports to address needs related to education, employment, medical and mental health services, legal services, family stabilization, substance abuse, guardianship, and gang intervention. ORR uses several instruments to facilitate the home study and post-release services referral process, as well as to document the outcomes of these assessments as required by the Homeland Security Act (6 U.S.C. 279), the Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232), Foundational Rule, 45 C.F.R. §§410.1204, .1210. Forms transferred from the Administration and Oversight (OMB# 0970-0547) collection were last approved May 18, 2022, and expire on May 31, 2025; forms transferred from Release (OMB# 0970-0552) collection were last approved, and expire April 30, 2027, and forms transferred from the Services (OMB# 0970-0553) collection 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 six (6) unique forms with associated appendices and addendums. An overview of proposed revisions is provided in Section A.15 of Supporting Statement A.

---

Authorizing Statute(s): US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   US Code: 8 USC 1232 Name of Law: William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
   PL: Pub.L. 113 - 4 1101(c) Name of Law: Violence Against Women Reauthorization Act of 2013
  

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 104183	12/20/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 22311	05/27/2025
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
Home Study Assessment (Form S-6) – Home Study Providers	A-6	Home Study Assessment
Home Study Referral (Form S-26)- Care Provider Case Managers	Form S-26	Home Study Referral
Notification of Concern (Form A-7) - Care Provider Case Manager	A-7, A-7 (Addendum)	Notification of Concern ,   Notification of Concern - Addendum
Notification of Concern (Form A-7) - ORR NCC Call Specialist	A-7, A-7 (Addendum)	Notification of Concern ,   Notification of Concern - Addendum
Notification of Concern (Form A-7) – Home Study/ Post-Release Services Caseworker	A-7, A-7 (Addendum)	Notification of Concern ,   Notification of Concern - Addendum
Post-Release Services Referral (Form S-19) - Care Provider Case Managers	A-19, A-19 (Appendix)	Post-Release Services Referral ,   Post-Release Services Referral - Appendix
Post-Release Services Report (Form S-22) – Post-Release Service Caseworkers	Form S-22	Post-Release Services Report
Virtual Check-in Questionnaire (Form R-6) - Child	R-6, R-6	Virtual Check-in Questionnaire ,   Virtual Check-in Questionnaire
Virtual Check-in Questionnaire (Form R-6) - Sponsor	R-6, R-6	Virtual Check-in Questionnaire ,   Virtual Check-in Questionnaire
Virtual Check-in Questionnaire (Form R-6) – Post-Release Service Provider	R-6, R-6	Virtual Check-in Questionnaire ,   Virtual Check-in Questionnaire

---

ICR Summary of Burden

	Total Request	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	890,718	0	0	695,718	195,000	0
Annual Time Burden (Hours)	459,407	0	0	410,657	48,750	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: Under this application ORR proposes to revise and transfer one existing form currently approved under the Administration and Oversight of the Unaccompanied Alien Children Program (OMB# 0970-0547), one existing form currently approved under the Release of Unaccompanied Alien Children from ORR Custody (OMB# 0970-0552) information collection, and four existing forms currently approved under the Services Provided to Unaccompanied Alien Children (OMB# 0970-0553) collection.

---

Annual Cost to Federal Government: $14,458,772

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

---