COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors

Forms and Documents

Document Name	Status
Supporting Statements with OMB Instructions UAC COVID19 Survey_August 2020_Final.docx Supporting Statement A	2020-08-31

IC Document Collections

IC ID	Document Title	Status
240791	Unaccompanied Alien Children – Coronavirus (COVID-19) Risk Questionnaire Other-Questionnaire	Modified

ICR Details

OMB Control No: 0970-0543	ICR Reference No: 202008-0970-014
Status: Active	Previous ICR Reference No: 202003-0970-011
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: COVID-19 Screening Tool for Unaccompanied Alien Children Program Staff and Visitors
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/22/2020
	Date Received in OIRA: 08/31/2020
Terms of Clearance: Limiting approval timelines for COVID-specific items; apply for an extension in 1 year if the public health emergency continues and include any updated symptom checklists and procedures

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	09/30/2020
Responses	3,900,000	0	3,900,000
Time Burden (Hours)	128,700	0	128,700
Cost Burden (Dollars)	0	0	0

---

Abstract: The emergence of the COVID-19 infectious disease pandemic has necessitated action to help ensure unaccompanied alien children and program staff health and safety within the Unaccompanied Alien Children (UAC) Program. OMB originally approved a COVID-19 screening tool (“risk questionnaire”) for Unaccompanied Alien Children (UAC) program staff and visitors on March 20, 2020 under a request for emergency approval (OMB #0970-0543). Since ACF received approval for this information collection, the Center for Disease Control (CDC) released updated guidance on COVID-19 symptoms and response, necessitating minor updates to the risk questionnaire. The proposed changes to the previously approved risk questionnaire include a list of updated COVID-19 symptoms; additional questions about whether the individual has been tested for COVID-19; and instructions on how to conduct a temperature check. ORR added questions about testing based on the states increasing ability to conduct more COVID-19 tests than they were able to at the time the original guidance was issued in March. Similarly, the revised risk questionnaire omitted a question about an individual’s travel history because at the time the revised guidance was issued in July, COVID had become a global problem and was no longer only prevalent in the four international locations (China, Iran, South Korea, most of Europe) previously identified on the questionnaire.

---

Authorizing Statute(s): US Code: 6 USC 279(b)(1)(B);(E) Name of Law: Homeland Security Act of 2002
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 16636	03/24/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 53381	08/28/2020
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Unaccompanied Alien Children – Coronavirus (COVID-19) Risk Questionnaire

---

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	3,900,000	3,900,000	0	0	0	0
Annual Time Burden (Hours)	128,700	128,700	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $4,360

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? Yes

---

Common Form ICR:  No

---

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: 08/31/2020

---