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HS-PRS PPR Data Collection Template

ICR 202611-0970-002 · OMB 0970-0490 · Object 174479700.

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HS-PRS PPR Data Collection Template
Pham, Tiffany (ACF)
Calc
2024-02-21
2026-11-04
complete

Extracted Text

Office of Refugee and Resettlement (ORR)/Unaccompanied Children Program; Home Study (HS) and Post Release (PRS) Gr
Data Collection
HS Referral Types
HS TVPRA
Number of Reports Approved for an Extension by ORR/Federal Field Specialist
Number of Addendum Reports requested by ORR/ Federal Field Specialist
Number of Addendum Reports requested by ORR/ Federal Field Specialist for Cases
Served in Previous Budget Year
HS Mandated
Number of Reports Approved for an Extension by ORR/Federal Field Specialist
Number of Addendum Reports requested by ORR/ Federal Field Specialist
Number of Addendum Reports requested by ORR/ Federal Field Specialist for Cases
Served in Previous Budget Year
HS Discretionary
Number of Reports Approved for an Extension by ORR/Federal Field Specialist
Number of Addendum Reports requested by ORR/ Federal Field Specialist
Number of Addendum Reports requested by ORR/ Federal Field Specialist for Cases
Served in Previous Budget Year

Quarter 1 Quarter 2

HS cancelled by ORR/Federal Field Specialist
Total Number of Children Served through Home Studies

PAPERWORK REDUCTION ACT (PRA) OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of
this information collection is to provide relevant data to monitor the performance of grant recipients and analyze HS &
PRS outcomes to inform ORR’s program development and services. Public reporting burden for this collection of
information is estimated to average 0.5 hour per grantee, including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of
information (Homeland Security Act, 6 U.S.C. § 279 and Trafficking Victims Protection Reauthorization Act of 2008, 8
U.S.C. § 1232). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information subject to the requirements of the PRA of 1995, unless it displays a currently valid OMB control number.
The OMB control number is 0970-0490 and the expiration date is 03/31/2026. If you have any comments on this
collection of information, please contact [email protected].

S) and Post Release (PRS) Grant Recipient

Quarter 3 Quarter 4 Annual

N: The purpose of
ents and analyze HS &
his collection of
ctions, gathering and
ollection of
ation Act of 2008, 8
o, a collection of
MB control number.
mments on this

Office of Refugee and Resettlement (ORR)/Unaccompanied Children Program; Home Study (HS) and Post Release
(PRS) Grant Recipient Data Collection
PRS Referral Types
PRS Only
Rollover cases from previous budget period
Cases accepted at Level 1 but changed to Level 2
Cases accepted at Level 1 but changed to Level 3
Cases accepted at Level 2 but changed to Level 1
Cases accepted at Level 2 but changed to Level 3
Cases accepted at Level 3 but changed to Level 2
Cases accepted at Level 3 but changed to Level 1
PRS TPVRA
Rollover cases from previous budget period
Cases accepted and Served at Level 1
Cases accepted at Level 2 but changed to Level 3
Cases accepted at Level 3 but changed to Level 2
PRS After Discretionary HS
Rollover cases from previous budget period
Cases accepted at Level 2 but changed to Level 1
Cases accepted at Level 2 but changed to Level 3
Cases accepted at Level 3 but changed to Level 2
Cases accepted at Level 3 but changed to Level 1
PRS After Mandated HS
Rollover cases from previous budget period
Cases accepted at Level 2 but changed to Level 1
Cases accepted at Level 2 but changed to Level 3
Cases accepted at Level 3 but changed to Level 2
Cases accepted at Level 3 but changed to Level 1
PRS After NOC
Rollover cases from previous budget period
Cases accepted at Level 1 but changed to Level 2
Cases accepted at Level 1 but changed to Level 3
Cases accepted at Level 2 but changed to Level 1
Cases accepted at Level 2 but changed to Level 3
Cases accepted at Level 3 but changed to Level 2
Cases accepted at Level 3 but changed to Level 1
Total Number of Children Served for ALL Post Release Services

Quarter 1 Quarter 2 Quarter 3 Quarter 4
x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

PAPERWORK REDUCTION ACT (PRA) OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The
purpose of this information collection is to provide relevant data to monitor the performance of grant
recipients and analyze HS & PRS outcomes to inform ORR’s program development and services. Public
reporting burden for this collection of information is estimated to average 0.5 hour per grantee, including
the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the
collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. §
279 and Trafficking Victims Protection Reauthorization Act of 2008, 8 U.S.C. § 1232). An agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the PRA of 1995, unless it displays a currently valid OMB control number. The OMB control
number is 0970-0490 and the expiration date is 03/31/2026. If you have any comments on this collection of
information, please contact [email protected].

HS) and Post Release

Annual

Office of Refugee and Resettlement (ORR)/Unaccompanied Children
Program; Home Study (HS) and Post Release (PRS) Grant Recipient
Data Collection
Case Closure Reasons

Quarter 1
PRS
ONLY

PRS
TVPRA

PRS After
Discretionary
HS

Child Turned 18
Legal Case - Status Achieved
Legal Case Closed Without Status
Category 1 Sponsor Declined Services
Category 2A, 2B, or 3 Sponsor - Sponsor AND Child Declined Services
PRS Assessment deemed services completed / no longer needed
Unable to Contact Sponsor /child
Transferred to another PRS Provider due to not having capacity to
provide the needed service
Transferred to another PRS provider for better service coordination for
minors living in the same household/sibling group
Child Ran Away
Child Arrested
Other
Total Number of Cases Closed for All Reasons
Number of Cases Approved for an Extension by ORR

PAPERWORK REDUCTION ACT (PRA) OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The
purpose of this information collection is to provide relevant data to monitor the performance of grant
recipients and analyze HS & PRS outcomes to inform ORR’s program development and services. Public
reporting burden for this collection of information is estimated to average 0.5 hour per grantee, including
the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the
collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. §
279 and Trafficking Victims Protection Reauthorization Act of 2008, 8 U.S.C. § 1232). An agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the PRA of 1995, unless it displays a currently valid OMB control number. The OMB control
number is 0970-0490 and the expiration date is 03/31/2026. If you have any comments on this collection of
information, please contact [email protected].

Quarter 1

Quarter 2
PRS After PRS After
Mandatory
NOC

PRS
ONLY

PRS
TVPRA

PRS After
PRS After PRS After
Discretionary
Mandatory
NOC
HS

Quarter 3
PRS
ONLY

PRS
TVPRA

Quarter 3
PRS After
PRS After PRS After
Discretionary
Mandatory NOC
HS

Quarter 4
PRS
ONLY

PRS
TVPRA

PRS After
PRS After PRS After
Discretionary
Mandatory
NOC
HS

A
PRS
ONLY

Annual
PRS
TVPRA

PRS After
PRS After PRS After
Discretionary
Mandatory
NOC
HS

Office of Refugee and Resettlement
(ORR)/Unaccompanied Children Program; Home
Study (HS) and Post Release (PRS) Grant Recipient
Data Collection

Quarter 1

Original reason
Primary PRS Needs as identified by referring facility for referral to
or PRS assessment
PRS (New
Cases)
Placement Stability and Safety
Guardianship
Legal Services
School Enrollment/Education
Medical Services
Individual Mental Health Services
Family Stabilization and Counseling
Substance Abuse
Gang Prevention
Youth Programming
Services Related to Cultural and other Traditions
Supporting Integration and Independence
Other

Ongoing Primary
Needs PRS
Identified (After
Initial Assessment)

PAPERWORK REDUCTION ACT (PRA) OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The
purpose of this information collection is to provide relevant data to monitor the performance of grant
recipients and analyze HS & PRS outcomes to inform ORR’s program development and services. Public
reporting burden for this collection of information is estimated to average 0.5 hour per grantee, including the
time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of
information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. § 279 and
Trafficking Victims Protection Reauthorization Act of 2008, 8 U.S.C. § 1232). An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of information subject to the requirements of
the PRA of 1995, unless it displays a currently valid OMB control number. The OMB control number is 09700490 and the expiration date is 03/31/2026. If you have any comments on this collection of information,
please contact [email protected].

Quarter 2
Original reason
for referral to
PRS (New
Cases)

PUBLIC BURDEN: The
performance of grant
t and services. Public
ur per grantee, including the
eviewing the collection of
t, 6 U.S.C. § 279 and
ency may not conduct or
ubject to the requirements of
MB control number is 0970llection of information,

Ongoing Primary
Needs PRS
Identified (After
Initial Assessment)

Quarter 3
Original reason
for referral to
PRS (New
Cases)

Ongoing Primary
Needs PRS
Identified (After
Initial Assessment)

Quarter 4
Original reason
for referral to
PRS (New
Cases)

Quarter 4
Ongoing Primary
Needs PRS
Identified (After
Initial Assessment)

Annual
Original reason Ongoing Primary
for referral to Needs PRS
PRS (New
Identified (After
Cases)
Initial Assessment)