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 legal status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody. Generally, care provider facilities are State licensed (with the exception of those located in states unwilling to license them and temporary influx care facilities) and must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management.
ORR uses several forms directly related to the care of unaccompanied alien children. The forms in this information collection allow ORR to place unaccompanied alien children referred to ORR by federal agencies into care provider facilities and to transfer children within the ORR care provider network.
On September 26, 2025, the Office of Management and Budget approved revised versions of forms P-4 and P-7 through emergency approval, as authorized underâ¯5 CFR 1320.13.
ORR is proposing revisions to one form in this collection, the Authorization for Medical, Dental, and Mental Health Care (Form P-2).
The purpose of the Authorization for Medical, Dental and Mental Health Care (Form P-2) is to inform the treating healthcare provider that the care provider program has the authority, on behalf of ORR, to provide consent for certain healthcare services for unaccompanied alien children and to collect the childâs health records for these services. In addition, the form explains the reimbursement procedure for the submission of healthcare claims.
The approved version of the Authorization for Medical, Dental and Mental Health Care (Form P-2) is not consistent with ORRâs current consent policies, guidance on required healthcare services, and reimbursement processes. The lack of alignment has caused confusion in the healthcare community and a delay in reimbursement of services.
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ACF is requesting emergencyâ¯review and approval by OMB to update two forms approved under the Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities information collection (OMB #0970-0554), as authorized underâ¯5 CFR 1320.13.⯠ACF is requesting approval as soon as possible due to secure beds becoming available on September 15, 2025 and requests 180 days of approval, during which time a full revision request will be submitted under normal procedures under the Paperwork Reduction Act.
The information collection is essential to the mission of the agency, the use of normal clearance procedures is reasonably likely to prevent or disrupt the collection of information, and public harm is reasonably likely to result if normal clearance procedures are followed. For additional information see Attachment A.
PL:
Pub.L. 113 - 4 1101(c)
Name of Law: Violence Against Women Reauthorization Act of 2013
US Code:
6 USC 279
Name of Law: Homeland Security Act (HSA)
US Code:
8 USC 1232
Name of Law: Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
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.
Bed Assignment and Capacity Overview Module (Form P-12B)