Care Provider Facility Tour Request (Form A-1A) - Record Keeping

Unaccompanied Alien Children Bureau Administrative Activities

Documents and Forms

Document Name Document Type
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form
Form A-1A Care Provider Facility Tour Request A-1A Care Provider Facility Tour Request_Revised_2025 04 17.pdf Form

Information Collection (IC) Details

IC Title:	Care Provider Facility Tour Request (Form A-1A) - Record Keeping	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 410, 411, 412 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form A-1A	Care Provider Facility Tour Request	A-1A Care Provider Facility Tour Request_Revised_2025 04 17.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 09-80-0321 ORR Unaccompanied Children Bureau Administrative Program Records	FR Citation: 89 FR 100500

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	510	294	216
Annual IC Time Burden (Hours)	1,020	588	432
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.