OMB control number
Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form
OMB 0970-0550 · HHS/ACF.
OMB 0970-0550
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. The current OMB expiration date for this information collection is July 31, 2026. We are requesting approval for a three-year extension with proposed revisions to the information collection. The proposed revisions are intended to improve the data collection through streamlining, clarification, and updates to ensure the request is up-to-date. See section A15 for additional information on the changes. We are proposing a 12-month implementation timeframe for executing revisions, during which time we will continue to use the currently approved forms. The implementation timeframe is necessary to allow the database contractor sufficient time to build, test, and execute the form revisions.
The latest form for Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form expires 2029-10-31 and is listed under ICR 202607-0970-005.
Latest Forms, Documents, and Supporting Material
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202607-0970-005 | Revision of a currently approved collection | 2026-07-15 | ||
| 202505-0970-010 | No material or nonsubstantive change to a currently approved collection | 2025-06-02 | ||
| 202305-0970-009 | Revision of a currently approved collection | 2023-05-17 | Approved without change | |
| 202206-0970-012 | No material or nonsubstantive change to a currently approved collection | 2022-06-24 | Approved without change | |
| 202110-0970-009 | No material or nonsubstantive change to a currently approved collection | 2021-10-18 | Approved without change | |
| 202005-0970-013 | New collection (Request for a new OMB Control Number) | 2020-05-27 | Approved without change |
OMB Details
Unaccompanied Refugee Minors Program Application
Federal Enterprise Architecture: Community and Social Services - Social Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 1 | URM Program Application | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.