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Unaccompanied Refugee Minors Program Application, and Withdrawal of Application or Declination of Placement Form
ICR 202305-0970-009
OMB: 0970-0550
Federal Form Document
OMB.report
HHS/ACF
OMB 0970-0550
ICR 202305-0970-009
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0550 can be found here:
2025-06-02 - No material or nonsubstantive change to a currently approved collection
Forms and Documents
Document
Name
Status
Form 1 Withdrawal of Application or Declination of Placement Form
Form
Modified
Form 1 Unaccompanied Refugee Minors Program Application
Form
Modified
Supporting Statement A - URM Program Application_mj_clean.docx
Supporting Statement A
2023-05-15
IC Document Collections
IC ID
Document
Title
Status
241922
Withdrawal of Application or Declination of Placement Form
Form
Modified
241921
Unaccompanied Refugee Minors Program Application
Form
Modified
ICR Details
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