Information Collection Request

Unaccompanied Alien Children Bureau Administrative Activities

ICR 202505-0970-002 · OMB 0970-0547 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form A-9E Behavioral Note Form Removed Available
Form A-9E Behavioral Note (Form A-9E) Form Removed Missing upstream
Form A-9D Historical Disclosure Form Removed Available
Form A-9D Historical Disclosure (Form A-9D) Form Removed Repair queued
Form Form A-7 Notification of Concern Addendum Form and Instruction Removed Available
Form Form A-7 Notification of Concern Form Removed Available
Form Form A-7 Notification of Concern (Form A-7) Form Removed Repair queued
Form A-5s Authorization for Release of Records - Spanish Form Modified Available
Form A-5 Authorization for Release of Records Form Modified Available
Form A-5 Authorization for Release of Records (Form A-5) - Record keeping Form Modified Repair queued
Form Form A-1A Care Provider Facility Tour Request Form Modified Available
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form Modified Repair queued
Form Form A-15 ORR Waiver Request Form Modified Available
Form Form A-15 ORR Waiver Request (Form A-15) Form Modified Repair queued
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation Form Modified Available
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form Modified Repair queued
Form A-10 Program-Level Event Report and Addendum - UC Path Version Form Removed Available
Form A-10 Program-Level Event Report - UC Portal Version Form Removed Available
Form A-10 Program Level Event (Form A-10) Form Removed Missing upstream
Form A-9C Emergency Significant Incident Report Addendum - UC Portal Version Form Removed Available
Form A-9C Emergency Significant Incident Report Addendum - UC Path Version Form Removed Available
Form A-9C Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form Removed Repair queued
Form A-9B Emergency Significant Incident Report Form Removed Available
Form A-9B Emergency Significant Incident Report - UC Path Version Form Removed Available
Form A-9B Emergency Significant Incident Report (Form A-9B) Form Removed Missing upstream
Form A-9A Child-Level Event Form Removed Available
Form A-9A Child-Level Event (Form A-9A) Form Removed Repair queued
Form A-5s Authorization for Release of Records (Spanish) Form Modified Available
Form A-5 Authorization for Release of Records (English) Form Modified Available
Form A-5 Authorization for Release of Records (Form A-5) Form Modified Missing upstream
Form A-4s Notice to Unaccompanied Alien Children for Class Counsel Visits - Spanish Form Modified Available
Form A-4 Notice to Unaccompanied Alien Children for Class Counsel Visits Form Modified Available
Form A-4 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form Modified Repair queued
Form A-1A Care Provider Facility Tour Request Form Modified Available
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form Modified Repair queued
SSA_0970-0547_Admin Activities _011_2025 04 17.docx Supporting Statement A Uploaded 2025-05-01 Repair queued
SSA_0970-0547_Admin Activities _011_2025 04 17.docx Supporting Statement A Uploaded 2025-05-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260907 Behavioral Note (Form A-9E) Form RemovedBehavioral Note
260907 Behavioral Note (Form A-9E) Form Removed
260906 Historical Disclosure (Form A-9D) Form RemovedHistorical Disclosure
260906 Historical Disclosure (Form A-9D) Form Removed
249481 Notification of Concern (Form A-7) Form and Instruction RemovedNotification of Concern Addendum
249481 Notification of Concern (Form A-7) Form RemovedNotification of Concern
249481 Notification of Concern (Form A-7) Form Removed
249480 Authorization for Release of Records (Form A-5) - Record keeping Form ModifiedAuthorization for Release of Records - Spanish
249480 Authorization for Release of Records (Form A-5) - Record keeping Form ModifiedAuthorization for Release of Records
249480 Authorization for Release of Records (Form A-5) - Record keeping Form Modified
241082 Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form ModifiedCare Provider Facility Tour Request
241082 Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form Modified
241079 ORR Waiver Request (Form A-15) Form ModifiedORR Waiver Request
241079 ORR Waiver Request (Form A-15) Form Modified
241078 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form ModifiedKey Personnel Minimum Qualifications Checklist and Attestation
241078 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form Modified
241077 Program Level Event (Form A-10) Form RemovedProgram-Level Event Report and Addendum - UC Path Version
241077 Program Level Event (Form A-10) Form RemovedProgram-Level Event Report - UC Portal Version
241077 Program Level Event (Form A-10) Form Removed
241075 Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form RemovedEmergency Significant Incident Report Addendum - UC Portal Version
241075 Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form RemovedEmergency Significant Incident Report Addendum - UC Path Version
241075 Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form Removed
241074 Emergency Significant Incident Report (Form A-9B) Form RemovedEmergency Significant Incident Report
241074 Emergency Significant Incident Report (Form A-9B) Form RemovedEmergency Significant Incident Report - UC Path Version
241074 Emergency Significant Incident Report (Form A-9B) Form Removed
241073 Child-Level Event (Form A-9A) Form RemovedChild-Level Event
241073 Child-Level Event (Form A-9A) Form Removed
241072 Authorization for Release of Records (Form A-5) Form ModifiedAuthorization for Release of Records (Spanish)
241072 Authorization for Release of Records (Form A-5) Form ModifiedAuthorization for Release of Records (English)
241072 Authorization for Release of Records (Form A-5) Form Modified
241070 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form ModifiedNotice to Unaccompanied Alien Children for Class Counsel Visits - Spanish
241070 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form ModifiedNotice to Unaccompanied Alien Children for Class Counsel Visits
241070 Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) Form Modified
241067 Care Provider Facility Tour Request (Form A-1A) Form ModifiedCare Provider Facility Tour Request
241067 Care Provider Facility Tour Request (Form A-1A) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2028 36 Months From Approved 06/30/2025
22,790 0 188,089
11,804 0 173,941
0 0 0





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
Authorization for Release of Records (Form A-5) A-5, A-5s ,  
Authorization for Release of Records (Form A-5) - Record keeping A-5, A-5s ,  
Behavioral Note (Form A-9E) A-9E
Care Provider Facility Tour Request (Form A-1A) A-1A
Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form A-1A
Child-Level Event (Form A-9A) A-9A
Emergency Significant Incident Report (Form A-9B) A-9B, A-9B ,  
Historical Disclosure (Form A-9D) A-9D
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) A-14
Non-Emergency Significant Incident Report and Addendum (Form A-9C) A-9C, A-9C ,  
Notice to Unaccompanied Alien Children for Class Counsel Visits (Form A-4) A-4, A-4s ,  
Notification of Concern (Form A-7) Form A-7, Form A-7 ,  
ORR Waiver Request (Form A-15) Form A-15
Program Level Event (Form A-10) A-10, A-10 ,  

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 22,790 188,089 0 -165,299 0 0
Annual Time Burden (Hours) 11,804 173,941 0 -162,137 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No