Services Provided to Unaccompanied Children

OMB 0970-0553

ORR’s Unaccompanied Alien Children (UAC) Program provides care and custody for UAC 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 UAC in ORR custody. Care provider facilities are State licensed, with the exception of 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 is submitting several instruments directly related to the care of UAC for processing pursuant to the Paperwork Reduction Act. These instruments allow ORR to provide services to UAC as required by statute and ORR policy. The proposed instruments are: • Sponsor Assessment (Form S-5) • Home Study Report (Form S-6) • New Sponsor (Form S-7) • Initial Intakes Assessment (Form S-8) • Assessment for Risk (Form S-9) • UAC Assessment (Form S-11) • UAC Case Review (Form S-12) • Individual Service Plan (Form S-13) • Travel Request for Long Term Foster Care (Form S-14) • Child Advocate Recommendation and Appointment (Form S-15) • Summary Notes: Thirty Day Restrictive Placement Case Review (Form S-16) • UAC Case Status

The latest form for Services Provided to Unaccompanied Children expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 UC Case Status Form and Instruction
Form 1 UC Case Status Form and Instruction
Form S-24 Sponsor Application (Form S-24) Form and Instruction
Form S-24 Sponsor Application (Form S-24) Form and Instruction
Form S-23 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction
Form S-23 Case Manager Call Log and Case Notes (Form S-23) Form and Instruction
Form S-22 Post-Release Service (PRS) Event (Form S-22) Form and Instruction
Form S-22 Post-Release Service (PRS) Event (Form S-22) Form and Instruction
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction
Form S-21D Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction
Form S-21C Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction
Form S-21B Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction
Form S-21A Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction
Form S-20 UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction
Form S-20 UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction
Form S-19 Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction
Form S-19 Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction
Form S-18 Admission (Form S-18) Form and Instruction
Form S-18 Admission (Form S-18) Form and Instruction
Form S-15 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction
Form S-15 Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction
Form S-14 Long Term Foster Care Travel Request (Form S-14) Form and Instruction
Form S-14 Long Term Foster Care Travel Request (Form S-14) Form and Instruction
Form S-13 Individual Service Plan (Form S-13) Form and Instruction
Form S-13 Individual Service Plan (Form S-13) Form and Instruction
Form S-12 UC Case Review (Form S-12) Form and Instruction
Form S-12 UC Case Review (Form S-12) Form and Instruction
Form S-11 UC Assessment (Form S-11) Form and Instruction
Form S-11 UC Assessment (Form S-11) Form and Instruction
Form S-9 Assessment for Risk (Form S-9) Form and Instruction
Form S-9 Assessment for Risk (Form S-9) Form and Instruction
Form S-8 Initial Intakes Assessment (Form S-8) Form and Instruction
Form S-8 Initial Intakes Assessment (Form S-8) Form and Instruction
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction
Form S-7 Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction
Form S-6 Home Study Assessment (Form S-6) Form and Instruction
Form S-6 Home Study Assessment (Form S-6) Form and Instruction
Form S-5 Sponsor Assessment (Form S-5) Form and Instruction
Form S-5 Sponsor Assessment (Form S-5) Form and Instruction
Nonsub Memo_0970-0553_Services_009_2023 09 271.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_009_2023 09 271.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_007 _2023 10 26.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_007 _2023 10 26.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_008 _2023 09 25.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_008 _2023 09 25.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_006 _2023 07 25.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0553_Services_006 _2023 07 25.docx Justification for No Material/Nonsubstantive Change
Appendix B - S-5 Sponsor Assessment - Flags Section Mockup.pdf Supplementary Document
Appendix B - S-5 Sponsor Assessment - Flags Section Mockup.pdf Supplementary Document
Appendix A - Proposed Revisions for S-5 Sponsor Assessment - Flags Section.xlsx Supplementary Document
Appendix A - Proposed Revisions for S-5 Sponsor Assessment - Flags Section.xlsx Supplementary Document
0970-0553_Services_NonSub Change Request _UC Case Status_2022 05 23.docx Justification for No Material/Nonsubstantive Change
0970-0553_Services_NonSub Change Request _UC Case Status_2022 05 23.docx Justification for No Material/Nonsubstantive Change
0970-0553 NonSub Change Request Memo (04.21.22).docx Justification for No Material/Nonsubstantive Change
0970-0553 NonSub Change Request Memo (04.21.22).docx Justification for No Material/Nonsubstantive Change
SSA Attachment A_0970-0553_Services_003_2022 04 20.docx Supplementary Document
SSA Attachment A_0970-0553_Services_003_2022 04 20.docx Supplementary Document
SSA_0970-0553_Services_003_2022 4 22 UPDATED.docx Supporting Statement A
SSA_0970-0553_Services_003_2022 4 22 UPDATED.docx Supporting Statement A
UC Case Status Form and Instruction
UC Case Status Form and Instruction
Sponsor Application (Form S-24) Form and Instruction
Sponsor Application (Form S-24) Form and Instruction
Case Manager Call Log and Case Notes (Form S-23) Form and Instruction
Case Manager Call Log and Case Notes (Form S-23) Form and Instruction
Post-Release Service (PRS) Event (Form S-22) Form and Instruction
Post-Release Service (PRS) Event (Form S-22) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form S-21D) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Primary Provider Profile (Form S-21C) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form S-21B) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form S-21A) Form and Instruction
UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction
UC Authorized/Restricted Call List and Call Log (Form S-20) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction
Home Study/Post-Release Service (HS/PRS) Referral (Form S-19) Form and Instruction
Admission (Form S-18) Form and Instruction
Admission (Form S-18) Form and Instruction
Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction
Child Advocate Recommendation and Appointment (Form S-15) Form and Instruction
Long Term Foster Care Travel Request (Form S-14) Form and Instruction
Long Term Foster Care Travel Request (Form S-14) Form and Instruction
Individual Service Plan (Form S-13) Form and Instruction
Individual Service Plan (Form S-13) Form and Instruction
UC Case Review (Form S-12) Form and Instruction
UC Case Review (Form S-12) Form and Instruction
UC Assessment (Form S-11) Form and Instruction
UC Assessment (Form S-11) Form and Instruction
Assessment for Risk (Form S-9) Form and Instruction
Assessment for Risk (Form S-9) Form and Instruction
Initial Intakes Assessment (Form S-8) Form and Instruction
Initial Intakes Assessment (Form S-8) Form and Instruction
Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction
Adult Contact Profile (Portal Form S-5; Path Form S-7) Form and Instruction
Home Study Assessment (Form S-6) Form and Instruction
Home Study Assessment (Form S-6) Form and Instruction
Sponsor Assessment (Form S-5) Form and Instruction
Sponsor Assessment (Form S-5) Form and Instruction

All Historical Document Collections

202402-0970-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-02-23
202310-0970-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-10-27
202309-0970-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-09-25
202307-0970-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-07-25
202206-0970-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-06-10
202204-0970-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-04-22
202109-0970-020 Approved with change	Revision of a currently approved collection	2021-09-30
202107-0970-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-07-01
202012-0970-009	Extension without change of a currently approved collection	2020-12-21
202007-0970-018 Approved with change	New collection (Request for a new OMB Control Number)	2020-07-27

OMB Details

Sponsor Assessment (Form S-5)

Federal Enterprise Architecture: Community and Social Services - Social Services

Form S-5

Sponsor Assessment

Fillable Fileable

Form

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