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ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - State Agencies
Unaccompanied Refugee Minors Program: ORR-3 Placement Report and ORR-4 Outcomes Report
OMB: 0970-0034
IC ID: 46534
OMB.report
HHS/ACF
OMB 0970-0034
ICR 202505-0970-007
IC 46534
( )
Documents and Forms
Document Name
Document Type
Form ORR-4
ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - State Agencies
Form
ORR-4 Instructions_exp 11.30.2026_rev 2.2025_CLEAN (1).docx
Instruction
ORR-4 ORR-4
ORR-4 Report Form_exp 11.30.2026_rev 2.2025_CLEAN (1).xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ORR-4 (Unaccompanied Refugee Minors Outcomes Report) - State Agencies
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
45 CFR 400
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ORR-4
ORR-4
ORR-4 Report Form_exp 11.30.2026_rev 2.2025_CLEAN (1).xlsx
Yes
Yes
Fillable Fileable
Instruction
ORR-4 Instructions_exp 11.30.2026_rev 2.2025_CLEAN (1).docx
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
ORR Internet Refugee Arrivals Data System (iRADS)
FR Citation:
81 FR 46686
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,410
0
0
0
0
1,410
Annual IC Time Burden (Hours)
705
0
0
0
0
705
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.