OMB control number

Information Collection and record keeping for the timely replacement and release of UC in ORR Care

OMB 0970-0498 · HHS/ACF.

OMB 0970-0498

The ORR Unaccompanied Children Program provides placement, care, custody and mandated services for UC until such time as they can be successfully released to a sponsor, repatriated to their home country, or obtain legal status. Through cooperative agreements and contracts, ORR funds residential care providers that provide temporary housing and other services to unaccompanied children in ORR custody. These care provider facilities are State licensed and must meet ORR requirements to ensure a high level quality of care. They provide a continuum of care for children, including placements in ORR foster care, group homes, shelter, staff secure, secure, and residential treatment centers. The care providers provide children with classroom education, health care, socialization/recreation, vocational training, mental health services, access to legal services, and case management. The purpose of this information collection is allow grantees to collect information related to the provision of these services and to expeditiously provide for the timely release of unaccompanied children. The data collection also allows ORR to track grant project performance and the success of the program. In order to monitor performance and ensure compliance with statutory and regulatory requirements and standards, ORR: 1) Collects information from its network of care providers to show evidence that care providers’ standards of care, family reunification methods, internal policies and procedures, personnel, training, and other components meet minimum standards and ensure the safety and security of children in ORR care. 2) Requires care providers to track the timely release process and delivery of services for individual children and youth to ensure compliance and allow ORR to conduct formal monitoring and performance review.

The latest form for Information Collection and record keeping for the timely replacement and release of UC in ORR Care expires 2020-07-31 and is listed under ICR 201606-0970-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 1 Standard Shelter Tour Request	Form and Instruction
Form 1 Withdrawl of Application or Declination of Placement Form	Form and Instruction
Form 1 URM Application	Form and Instruction
Form 1 Legal Service Provider List for UC	Form and Instruction
Form 1 Notice of Rights and Provision of Services Handout	Form and Instruction
Form 1 Child Advocate Referral and Appointment Form	Form and Instruction
Form 1 Verification of Release	Form and Instruction
Form 1 Discharge Notification	Form and Instruction
Form 1 Release Request	Form and Instruction
Form 1 Care Provider Family Reunification Check List	Form and Instruction
Form 1 Notice of Transfer to ICE Chief Counsel and Change of Address	Form and Instruction
Form 1 Travel Request Form for UC Long Term Foster Care	Form and Instruction
Form 1 Long Term Foster Care Placement Memo	Form and Instruction
Form 1 Transfere Request and Tracking Form	Form and Instruction
Form 1 New Sponsor Form	Form and Instruction
Form 1 UC Case Review Form	Form and Instruction
Form 1 Individual Service Plan	Form and Instruction
Form 1 UC Assessment	Form and Instruction
Form 1 Initial Intakes Form	Form and Instruction
Form 1 Notice of Placement in Secure or Staff Secure Facility	Form and Instruction
Form 1 Placement Authorization Form	Form and Instruction
Form 1 Further Assessment Swift Track (FAST) Placement Tool	Form and Instruction
Form 1 UC Portal Capacity Report	Form and Instruction
SUPSTAT_HHS_ORR-0330.doc	Supporting Statement A
Standard Shelter Tour Request	Form and Instruction
Withdrawl of Application or Declination of Placement Form	Form and Instruction
URM Application	Form and Instruction
Legal Service Provider List for UC	Form and Instruction
Notice of Rights and Provision of Services Handout	Form and Instruction
Child Advocate Referral and Appointment Form	Form and Instruction
Verification of Release	Form and Instruction
Discharge Notification	Form and Instruction
Release Request	Form and Instruction
Care Provider Family Reunification Check List	Form and Instruction
Notice of Transfer to ICE Chief Counsel and Change of Address	Form and Instruction
Travel Request Form for UC Long Term Foster Care	Form and Instruction
Long Term Foster Care Placement Memo	Form and Instruction
Transfere Request and Tracking Form	Form and Instruction
New Sponsor Form	Form and Instruction
UC Case Review Form	Form and Instruction
Individual Service Plan	Form and Instruction
UC Assessment	Form and Instruction
Initial Intakes Form	Form and Instruction
Notice of Placement in Secure or Staff Secure Facility	Form and Instruction
Placement Authorization Form	Form and Instruction
Further Assessment Swift Track (FAST) Placement Tool	Form and Instruction
UC Portal Capacity Report	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201606-0970-005	Existing collection in use without an OMB Control Number	2016-07-08		Approved with change

OMB Details

UC Portal Capacity Report

Federal Enterprise Architecture: Community and Social Services - Social Services

Information collection instruments
Form	Name	Electronic access	Type
Form 1	UC Portal Capacity Report	Fillable Printable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.