Administration and Oversight of the Unaccompanied Children Program

OMB 0970-0547

These instruments allow ORR to facilitate stakeholder visits to care provider facilities; obtain consent from UAC to share their case file information; improve service delivery to UAC; and ensure that serious issues are elevated to ORR and that all incidents and the response to such incidents are documented and resolved in a way that protects the interests of UAC.

The latest form for Administration and Oversight of the Unaccompanied Children Program expires 2024-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form A-9E Behavioral Note (Form A-9E) Form
Form A-9D Historical Disclosure (Form A-9D) Form
Form Form A-7 Notification of Concern (Form A-7) Form
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form
Form Form A-1A Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form
Form Form A-15 ORR Waiver Request (Form A-15) Form
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form
Form A-10 Program Level Event (Form A-10) Form
Form A-10C Significant Incident Report (Form A-10C) Form
Form A-9C Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form
Form A-9B Emergency Significant Incident Report (Form A-9B) Form
Form A-9A Child-Level Event (Form A-9A) Form
Form A-5 Authorization for Release of Records (Form A-5 & A-5s) Form
Form A-4 Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form
Form A-1A Care Provider Facility Tour Request (Form A-1A) Form
Nonsub Memo_0970-0547_Admin and Oversight_005_2023 05 31.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0547_Admin and Oversight_004_2023 04 11.docx Justification for No Material/Nonsubstantive Change
Attachment A - Admin and Oversight (05.10.22) clean.docx Supplementary Document
SSA_0970-0547_Admin and Oversight_005_2023 06 29 CLEAN.docx Supporting Statement A
Behavioral Note (Form A-9E) Form
Historical Disclosure (Form A-9D) Form
Notification of Concern (Form A-7) Form
Authorization for Release of Records (Form A-5 & A-5s) - Record keeping Form
Care Provider Facility Tour Request (Form A-1A) - Record Keeping Form
ORR Waiver Request (Form A-15) Form
Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14) Form
Program Level Event (Form A-10) Form
Significant Incident Report (Form A-10C) Form
Non-Emergency Significant Incident Report and Addendum (Form A-9C) Form
Emergency Significant Incident Report (Form A-9B) Form
Child-Level Event (Form A-9A) Form
Authorization for Release of Records (Form A-5 & A-5s) Form
Notice to UAC for Flores Visits (Forms A-4 & A-4s) Form
Care Provider Facility Tour Request (Form A-1A) Form

OMB Details

Care Provider Facility Tour Request (Form A-1A)

Federal Enterprise Architecture: Community and Social Services - Social Services

Form A-1A

Care Provider Facility Tour Request

Fillable Fileable

Form

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

202306-0970-014 Approved with change	No material or nonsubstantive change to a currently approved collection	2023-06-29
202304-0970-003 Approved with change	No material or nonsubstantive change to a currently approved collection	2023-04-11
202301-0970-008 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2023-01-19
202109-0970-014 Approved with change	Revision of a currently approved collection	2021-09-27
202105-0970-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-05-21
202010-0970-004 Approved with change	Revision of a currently approved collection	2020-10-29
202004-0970-002 Approved with change	Existing collection in use without an OMB Control Number	2020-04-13