Information Collection Request

Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form

ICR 202505-0970-010 · OMB 0970-0550 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Withdrawal of Application or Declination of Placement Form Form Unchanged Available
Form 1 Withdrawal of Application or Declination of Placement Form Form Unchanged Repair queued
Form 1 URM Program Application Form Modified Available
Form 1 Unaccompanied Refugee Minors Program Application Form Modified Repair queued
NonSub Change - Update to ACF ICs - EO Updates May 2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-29 Available
NonSub Change - Update to ACF ICs - EO Updates May 2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-29 Repair queued
ACF Response to ImmDef Public Comment_cln.docx Supplementary Document Uploaded 2023-07-10 Available
ACF Response to ImmDef Public Comment_cln.docx Supplementary Document Uploaded 2023-07-10 Repair queued
Supporting Statement A - URM Program Application_mj_clean.docx Supporting Statement A Uploaded 2023-05-15 Repair queued
Supporting Statement A - URM Program Application_mj_clean.docx Supporting Statement A Uploaded 2023-05-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
241922 Withdrawal of Application or Declination of Placement Form Form UnchangedWithdrawal of Application or Declination of Placement Form
241922 Withdrawal of Application or Declination of Placement Form Form Unchanged
241921 Unaccompanied Refugee Minors Program Application Form ModifiedURM Program Application
241921 Unaccompanied Refugee Minors Program Application Form Modified
ICR Details
0970-0550 202505-0970-010
Active 202305-0970-009
HHS/ACF ORR-Ref
Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/27/2025
Retrieve Notice of Action (NOA) 06/02/2025
  Inventory as of this Action Requested Previously Approved
07/31/2026 07/31/2026 07/31/2026
500 0 500
685 0 685
0 0 0

The Refugee Act of 1980, Pub. L. No. 96-212, 8 U.S.C. 1522, amended the Immigration and Nationality Act to create a domestic refugee resettlement program that provides assistance and services to refugees resettling in the United States. With the enactment of this legislation, the Office of Refugee Resettlement (ORR) established comprehensive requirements for a State-administered refugee resettlement program including child welfare services to unaccompanied refugee minors. The Unaccompanied Refugee Minors (URM) Program currently operates in 14 states and the District of Columbia and provides the same range of child welfare benefits and services available to other foster children in those states as well as services required by ORR regulation and policy guidance. Originally, the URM Program provided services for refugee minors arriving from overseas unaccompanied by a parent or adult relative. Over the years Congress passed laws making other special populations already in the United States eligible for the URM Program. A completed URM Program Application must be submitted to ORR for eligibility determination, initiation of placement efforts, and approval to enter the URM Program. In January 2025, the current Administration released multiple Executive Orders (EO) and memoranda requiring updates to information collections that request gender and/or gender identity, to only request “Sex” with the options Male/Female. Additionally, presidential actions focused on the removal of diversity, equity, and inclusion (DEI)-specific activities. To be responsive to the new administration, ACF is submitting change requests for a number of implicated information collections. This request is specific to updates related to a recent presidential action, as detailed in the accompanying Justification for a NonSubstantive Change Memo.

US Code: 8 USC 1522(d) Name of Law: Refugee Act of 1980
  
None

Not associated with rulemaking

  88 FR 15039 03/10/2023
88 FR 31507 05/17/2023
No

  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 500 500 0 0 0 0
Annual Time Burden (Hours) 685 685 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$282,597
No
    Yes
    No
No
No
No
No
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.
06/02/2025