Refugee Resettlement Program Estimates: CMA

Forms and Documents

Document Name	Status
Form ORR-1 Refugee Resettlement Program Estimates: CMA Form and Instruction	Modified
ORR-1 Supporting Statement.doc Supporting Statement A	2011-08-10

IC Document Collections

IC ID	Document Title	Status
9799	Refugee Resettlement Program Estimates: CMA Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0030	ICR Reference No: 201108-0970-003
Status: Historical Active	Previous ICR Reference No: 200909-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Refugee Resettlement Program Estimates: CMA
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/12/2011
	Date Received in OIRA: 08/11/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved
Responses	48	0	0
Time Burden (Hours)	29	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The ORR-1 (Refugee Resettlement Program Estimates: CMA) allows ORR to obtain budget estimates for reimburseable costs from States at the beginning of the fiscal year. The form serves as the formal application for reimbursement for the costs of CMA (Cash/Medical/administration) for the Federally funded but State-administered Refugee Program.

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Authorizing Statute(s): US Code: 8 USC 1522 Name of Law: Assistance, Refugee medical Assistance
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 10605	02/25/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 48165	08/08/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Refugee Resettlement Program Estimates: CMA	ORR-1	Cash and Medical Assistance Estimates

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	48	0	0	0	0	48
Annual Time Burden (Hours)	29	0	0	5	0	24
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a program change that collects additional data elements. This increases the burden from 24 hours to 29 hours.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/11/2011

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