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picture1_Excel Sample Sheet 41346 | Orr 5 Revised Report Form For Fy 2022 Data And Beyond


 162x       Filetype XLSX       File size 0.03 MB       Source: www.acf.hhs.gov


File: Excel Sample Sheet 41346 | Orr 5 Revised Report Form For Fy 2022 Data And Beyond
sheet 1 orr5 sections i amp ii refugee data submission system for formula funds allocations and service analysis orr ndash 5 sections i amp ii omb 09700043 expiration date 04302024 ...

icon picture XLSX Filetype Excel XLSX | Posted on 15 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: ORR-5 Sections I&II






Refugee Data Submission System for Formula Funds Allocations and Service Analysis (ORR–5): Sections I & II







OMB #: 0970-0043














Expiration Date: 04/30/2024
SECTION I: BASIC INFORMATION SECTION II: RSS FAMILY SELF-SUFFICIENCY PLAN (FSSP) INITIAL ASSESSMENT AND REFERRAL
1. Alien Number 2. Principal Applicant (PA) Alien Number 3. Relationship to PA 4. First Name 5. Middle Name 6. Last Name 7. DOB 8. Status or Category 9. Gender 10. Nationality 11. Zip Code 12. City 13. County 14. Eligibility Date 15. Migration Status 16. Date of Migration 17. Refugee Cash Assistance (RCA) Enrollment Date 18. RCA
Exit Date
19. Refugee Medical Assistance (RMA)
Enrollment Date
20. RMA
Exit Date
21. Refugee Medical Screening (RMS)
Enrollment Date
22. RMS
Exit Date
23. Refugee Support Services (RSS)
Enrollment Date
24. RSS
Exit Date
25. RSS FSSP
English Ability
26. RSS FSSP
Education Level
27. RSS FSSP
Initial Primary Goal (G1)
28. RSS FSSP
Initial Referral Relevant to G1












































































































































































































































































































































































PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, the Office of Refugee Resettlement (ORR) is gathering data to better understand client goals, services utilized, and the outcomes achieved by the population served. The data will be used to inform evidence-based policy making, and data collected in section I will guide resource allocation. Public reporting burden for this collection of information is estimated to average 140 hours per grantee, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information [Immigration and Nationality Act, section 412(a)(3)]. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of information, please contact draprograms@acf.hhs.gov.




















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...Sheet orr sections i amp ii refugee data submission system for formula funds allocations and service analysis ndash omb expiration date section basic information rss family selfsufficiency plan fssp initial assessment referral alien number principal applicant pa relationship to first name middle last dob status or category gender nationality zip code city county eligibility migration of cash assistance rca enrollment exit medical rma screening rms support services english ability education level primary goal g relevant paperwork reduction act pub l statement public burden through this collection the office resettlement is gathering better understand client goals utilized outcomes achieved by population served will be used inform evidencebased policy making collected in guide resource allocation reporting estimated average hours per grantee including time reviewing instructions maintaining needed a mandatory an agency may not conduct sponsor person required respond subject requirements ...

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