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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
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	Missing upstream
Form 1 URM Program Application	Form	Modified	Available
Form 1 Unaccompanied Refugee Minors Program Application	Form	Modified	Missing upstream
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	Missing upstream
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	Available
Supporting Statement A - URM Program Application_mj_clean.docx	Supporting Statement A	Uploaded 2023-05-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241922	Withdrawal of Application or Declination of Placement Form	Form	Unchanged	Withdrawal 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	Modified	URM Program Application
241921	Unaccompanied Refugee Minors Program Application	Form	Modified

ICR Details

OMB Control No: 0970-0550	ICR Reference No: 202505-0970-010
Status: Active	Previous ICR Reference No: 202305-0970-009
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR-Ref
Title: Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/02/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2026	07/31/2026	07/31/2026
Responses	500	0	500
Time Burden (Hours)	685	0	685
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): US Code: 8 USC 1522(d) Name of Law: Refugee Act of 1980
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 15039	03/10/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 31507	05/17/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Unaccompanied Refugee Minors Program Application	1	URM Program Application
Withdrawal of Application or Declination of Placement Form	1	Withdrawal of Application or Declination of Placement Form

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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	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $282,597

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.     No

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

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Common Form ICR:  No

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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: 06/02/2025

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