Federal Register / Vol. 86, No. 166 / Tuesday, August 31, 2021 / Notices 48707 

with comprehensive reviews 

approximately every 5 years. CDC is 

currently planning for the next update 

of the US MEC and US SPR and will 

consider public comments when 

determining the scope of the guidance 

update. CDC is seeking feedback from 

health care providers, professional 

organizations, community-based 

organizations, organizations that seek to 

improve reproductive health, patient 

advocacy groups, and the public. 

The current US MEC may be found at 

the Supplementary Materials tab of the 

docket and at https://www.cdc.gov/ 

reproductivehealth/contraception/ 

mmwr/mec/summary.html. The current 

US SPR may be found at the 

Supplementary Materials tab of the 

docket and at https://www.cdc.gov/ 

reproductivehealth/contraception/ 

mmwr/spr/summary.html. 

References 

1. Daniels K, Abma JC. Current contraceptive 

status among women aged 15–49: United 

States, 2017–2019. NCHS Data Brief 

2020:388;1–8. 

2. Zapata LB, Pazol K, Curtis KM et al. Need 

for contraceptive services among women 

of reproductive age—45 jurisdictions, 

United States, 2017–2019. MMWR Morb 

Mortal Wkly Rep 2021;70:910–15. 

3. Marcell AV, Gibbs SE, Choiriyyah I et al. 

National needs of family planning among 

US men aged 15 to 44 years. Am J Public 

Health 2016:106;733–9. 

4. Curtis KM, Tepper NK, Jatlaoui TC, et al. 

U.S. medical eligibility criteria for 

contraceptive Use, 2016. MMWR 

Recomm Rep 2016;65(RR–3):1–103. 

5. Curtis KM, Jatlaoui TC, Tepper NK, et al. 

U.S. selected practice recommendations 

for contraceptive use, 2016. MMWR 

Recomm Rep 2016;65(RR–4):1–66. 

Sandra Cashman, 

Executive Secretary, Centers for Disease 

Control and Prevention. 

[FR Doc. 2021–18769 Filed 8–30–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Monitoring and Compliance for ORR 

Care Provider Facilities (0970–0564) 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, Department of Health and 

Human Services. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR), Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS), is proposing to continue 

to collect information that will allow the 

Unaccompanied Children (UC) Program 

to monitor its care provider facilities for 

compliance with federal and state laws 

and regulations, licensing and 

accreditation standards, ORR policies 

and procedures, and child welfare 

standards. These information 

collections were originally approved 

under emergency approval for 6 months. 

This request is to continue data 

collection. 

DATES: Comments due within 30 days of 

publication. OMB is required to make a 

decision concerning the collection of 

information between 30 and 60 days 

after publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

SUPPLEMENTARY INFORMATION: 

Description: ORR received several 

comments on this information 

collection in response to the Federal 

Register Notice published on 

January 21, 2021, (86 FR 6340) and has 

provided responses to those comments 

in its final submission to OMB. UC Path 

is critical to program operations and it 

is important that rollout of the new 

system not be delayed. Therefore, the 

below description details what will be 

included in the initial launch of the UC 

Path case management system and 

revisions based on public comments 

will be made after initial launch. ORR 

plans to conduct a deliberative review 

of commenters’ suggestions and 

concerns and submit a request for 

revisions to this information collection 

request in January 2022. The upcoming 

information collection request will also 

include revisions based on feedback 

from UC Path system users (i.e., ORR 

grantee, contractor, and federal staff). 

The components of this information 

request include: 

1. Corrective Action Report (Form M– 

1): This instrument is used by ORR 

Monitoring Team staff (includes federal 

and contractor staff), ORR Federal Field 

Specialists, and ORR Project Officers to 

document care provider noncompliance with minimum standards 

for the care and timely release of UC; 

federal and state laws and regulations; 

licensing standards; ORR policies and 

procedures; and child welfare 

standards. Care providers respond to 

each corrective action cited by ORR staff 

by entering a detail corrective action 

plan into the instrument and attaching 

any relevant supporting documents. 

Then, ORR staff document when each 

corrective action plan is completed to 

ORR’s satisfaction and enter a final 

determination. 

2. FFS Compliance and Safety Site 

Visit Report (Form M–3A): This 

instrument is used by ORR Federal 

Field Specialists to document site visit 

observations and interview responses. 

3. Out-of-Network Site Visit Report 

(Form M–3B): This instrument is used 

by ORR Federal Field Specialists to 

document site visit observations and 

interview responses for out-of-network 

providers. 

Checklists for a Child-Friendly 

Environment 

These instruments are used by care 

providers on a voluntary basis to help 

ensure compliance with ORR policies 

and procedures related to maintaining a 

safe, child-friendly environment. ORR 

may also ask care providers to complete 

the checklist prior to a site visit. 

4. Checklist for a Child-Friendly 

Environment—Care Provider 

Facility (Form M–4A) 

5. Checklist for a Child-Friendly 

Environment—Individual Foster 

Home (Form M–4B) 

Incident Reviews 

These instruments are used by ORR 

care provider staff to provide 

information to ORR on allegations of 

sexual abuse or sexual harassment that 

occurred in ORR care that were 

investigated by local child protective 

services, state licensing, local law 

enforcement, the HHS Office of the 

Inspector General, and/or the Federal 

Bureau of Investigation. Care providers 

submit the instrument to ORR’s 

Prevention of Sexual Abuse Team for 

review. Incident reviews help ensure 

that care providers have appropriate 

protective measures in place to prevent 

a similar incident from occurring again. 

6. UC Incident Review (Form M–5A): 

This instrument is completed for 

allegations of sexual abuse or sexual 

harassment that occurred in ORR care 

between two children. Changed the full 

name of the form from ‘‘Sexual Abuse 

and Sexual Harassment UAC Incident 

Review’’ to ‘‘PSA UC Incident Review.’’ 

7. Adult Incident Review (Form M– 

5B): This instrument is completed for 

allegations of sexual abuse, sexual 

harassment, or inappropriate sexual 


khammond on DSKJM1Z7X2PROD with NOTICES
48708 Federal Register / Vol. 86, No. 166 / Tuesday, August 31, 2021 / Notices 

behavior that occurred in ORR care 

between a child and an adult. Changed 

the full name of the form from ‘‘Sexual 

Abuse and Sexual Harassment Adult 

Incident Review’’ to ‘‘PSA Adult 

Incident Review.’’ 

Site Visit Guides 

These instruments are completed by 

care provider staff as part of the premonitoring process for biennial site 

visits and provide ORR Monitoring 

Team staff with information and 

supporting documents related to the 

overall functioning and oversight of the 

care provider program. There are 

separate instruments tailored 

specifically for monitoring of long term 

foster care (LTFC) programs, home 

study and post-release service (HS/PRS) 

providers, and/or voluntary agencies 

(primary grantees for LTFC and 

transitional foster care sub-grantees). 

12. Site Visit Guide (Form M–7A) 

13. Remote Monitoring Site Visit Guide 

(Form M–7B) 

14. Long Term Foster Care Site Visit 

Guide (Form M–7C) 

15. Long Term Foster Care Remote Site 

Visit Guide (Form M–7D) 

16. Home Study and Post-Release 

Services Site Visit Guide (Form M– 

7E) 

17. Voluntary Agency Site Visit Guide 

(Form M–7F) 

Personnel File Checklists 

These instruments are completed by 

care provider staff and ORR Monitoring 

Team staff (includes federal and 

contractor staff) during biennial site 

visits to ensure that programs are 

meeting ORR policies and procedures 

related to the maintenance of personnel 

files. There are separate instruments 

tailored specifically for HS/PRS 

provider files and LTFC parent files. 

25. Personnel File Checklist (Form M– 

10A) 

26. Supplement to Personnel File 

Checklist (Form M–10B) 

27. Home Study and Post-Release 

Services Personnel File Checklist 

(Form M–10C) 

28. Long Term Foster Care Foster Parent 

Checklist (Form M–10D) 

Program Staff Questionnaires 

These instruments are used by ORR 

Monitoring Team staff (includes federal 

and contractor staff) during biennial site 

visits to interview and document 

responses from various care provider 

program staff. 

29. Program Director Questionnaire 

(Form M–11A) 

30. Long Term Foster Care Program 

Director Questionnaire (Form M– 

11B) 

31. Clinician Questionnaire (Form M– 

11C) 

32. Long Term Foster Care Clinician 

Questionnaire (Form M–11D) 

33. Case Manager Questionnaire (Form 

M–11E) 

34. Long Term Foster Care Case 

Manager Questionnaire (Form M– 

11F) 

35. Education Staff Questionnaire (Form 

M–11G) 

36. Long Term Foster Care Education 

Questionnaire (Form M–11H) 

37. Medical Coordinator Questionnaire 

(Form M–11I) 

38. Youth Care Worker Questionnaire 

(Form M–11J) 

39. Prevention of Sexual Abuse 

Compliance Manager Staff 

Questionnaire (Form M–11K) 

40. Secure Detention Officer 

Questionnaire (Form M–11L) 

41. Long Term Foster Care Home Finder 

Questionnaire (Form M–11M) 

42. Long Term Foster Care Independent 

Living Life Skills Staff 

Questionnaire (Form M–11N) 

43. Long Term Foster Care Foster Parent 

Questionnaire (Form M–11O) 

Child Questionnaires 

These instruments are used by ORR 

Monitoring Team staff (includes federal 

and contractor staff) during biennial site 

visits to interview and document 

responses from UC. 

44. UC Questionnaire—Ages 6–12 Years 

Old (Form M–12A) 

45. UC Questionnaire—Ages 13 and 

Older (Form M–12B) 

46. Long Term Foster Care Client 

Questionnaire (Form M–12C) 

47. Secure Client Questionnaire (Form 

M–12D) 

48. UC Questionnaire—Ages 5 and 

Under (Form M–12E) 

Service Provider Questionnaires 

These instruments are used by ORR 

Monitoring Team staff (includes federal 

and contractor staff) during biennial site 

visits to interview and document 

responses from various service 

providers. 

49. Home Study and Post-Release 

Services Director Questionnaire 

(Form M–11A) 

50. Home Study and Post-Release 

Services Caseworker Questionnaire 

(Form M–13B) 

51. Legal Service Provider 

Questionnaire (Form M–13C) 

52. Long Term Foster Care Legal Service 

Provider Questionnaire (Form M– 

13D) 

53. Case Coordinator Questionnaire 

(Form M–13E) 

Monitoring Visit Planning 

These instruments are used by ORR 

Monitoring Team staff (includes federal 

and contractor staff) to plan and track 

biennial site visits for each fiscal year. 

These forms will be housed in ORR’s 

new database, UC Path. 

54. Monitoring Visit (Form M–14) 

55. Monitoring Schedule (Form M–15) 

Proposed revisions: 

• Replace the term ‘‘unaccompanied 

alien child (UAC)’’ with 

‘‘unaccompanied child (UC)’’ 

throughout the instruments in this 

collection. Note that the screenshots of 

UC Path instruments attached to this 

memo do not reflect this change because 

it has not yet been developed in the 

system. However, the revision in 

terminology will be made before the 

system is launched. 

• UC Incident Review (Form M– 

5A)—Changed the full name of the form 

from ‘‘Sexual Abuse and Sexual 

Harassment UAC Incident Review’’ to 

‘‘PSA UC Incident Review.’’ 

• Adult Incident Review (Form M– 

5B)—Changed the full name of the form 

from ‘‘Sexual Abuse and Sexual 

Harassment Adult Incident Review’’ to 

‘‘PSA Adult Incident Review.’’ 

• UC Questionnaires (Forms M–12A, 

M–12B, and M–12E)—Add a new 

version of the questionnaire designed 

for children ages 5 and under. Translate 

all three versions of the questionnaire 

into Spanish. 

• Secure Client Questionnaire (Form 

M–12D)—Reformat the form, update the 

directions, and re-phrased some of the 

questions so that they are in line with 

ORR’s other child questionnaires (Forms 

M12–A to M–12C). 

• Shelter Site Visit Guide (Form 

(Form M–7A)—Revised question 6 in 

the ‘‘Background Checks’’ section to 

request a background check list for all 

staff, not just staff hired within the past 

2 years. The average burden minutes per 

response was increased from 12 hours to 

13 hours for respondents and from 28 

hours to 29 hours for federal and 

contractor monitors. 

• Remove the following instruments 

from the information collection. These 

instruments will be completed by 

federal staff as part of their normal job 

duties and by less than 10 contractor 

staff. Therefore, they are no longer 

subject to PRA requirements. 

Æ Monitoring Notes (Form M–6A) 

Æ Remote Monitoring Notes (Form 

M–6B) 

Æ Long Term Foster Care Monitoring 

Notes (Form M–6C) 

Æ Long Term Foster Care Remote 

Monitoring Notes (Form M–6D) 

Æ UC Case File Checklist (Form M– 

8A) 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 86, No. 166 / Tuesday, August 31, 2021 / Notices 48709 

Æ Long Term Foster Care Case File 

Checklist (Form M–8B) 

Æ Home Study and Post-Release 

Services Case File Checklist (Form M– 

8C) 

Æ Secure and Staff Secure Addendum 

to Case File Checklist (Form M–8D) 

Æ On-Site Monitoring Checklist (Form 

M–9A) 

Æ Foster Home On-Site Monitoring 

Checklist (Form M–9B) 

Æ Post-Release Services Home 

Observation (Form M–9C) 

Respondents: ORR grantee and 

contractor staff, foster parents, and UC. 

Annual Burden Estimates 

ESTIMATED BURDEN HOURS AND OPPORTUNITY COSTS FOR RESPONDENTS

Information collection title 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden hours 

per response 

Annual total 

burden hours 

Corrective Action Report (Form M–1) ............................................................. 216 0.5 5.00 540.00 

FFS Compliance and Safety Site Visit Report (Form M–3A) .......................... 216 12.0 1.00 2,592.00 

Out-of-Network Site Visit Report (Form M–3B) ............................................... 24 5.0 1.00 120.00 

Checklist for a Child-Friendly Environment (Form M–4) ................................. 216 12.0 0.25 648.00 

Incident Reviews (Forms M–5A to M–5B) ....................................................... 216 0.3 1.50 97.20 

Site Visit and Remote Monitoring Site Visit Guides (Forms M–7A to M–7B) 93 1.0 13.00 1,209.00 

LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M– 

7C to M–7D) ................................................................................................. 15 1.0 6.00 90.00 

HS/PRS Site Visit Guide (Form M–7E) ........................................................... 30 1.0 6.00 180.00 

Voluntary Agency Site Visit Guide (Form M–7F) ............................................ 5 1.0 8.00 40.00 

Program Staff Questionnaires (Form M–11A–K) ............................................ 756 1.0 1.00 756.00 

Secure Detention Officer Questionnaire (Form M–11L) .................................. 1 1.0 1.00 1.00 

Long Term Foster Care Home Finder Questionnaire (Form M–11M) ............ 15 1.0 1.00 15.00 

Long Term Foster Care Independent Living Life Skills Staff Questionnaire 

(Form M–11N) .............................................................................................. 15 1.0 1.00 15.00 

Long Term Foster Care Foster Parent Questionnaire (Form M–11O) ........... 30 1.0 0.75 22.50 

UC Questionnaires (Forms M–12A, M–12B, and M–12E) .............................. 460 1.0 0.50 230.00 

Long Term Foster Care Client Questionnaire (M–12C) .................................. 75 1.0 0.50 37.50 

Secure Client Questionnaire (Form M–12D) ................................................... 5 1.0 0.50 2.50 

Home Study and Post-Release Services Director Questionnaire (Form M– 

13A) .............................................................................................................. 30 1.0 1.00 30.00 

Home Study and Post-Release Services Caseworker Questionnaire (Form 

M–13B) ......................................................................................................... 90 1.0 1.00 90.00 

Legal Service Provider Questionnaire (Form M–13C) .................................... 93 1.0 1.00 93.00 

Long Term Foster Care Legal Service Provider Questionnaire (Form M– 

13D) .............................................................................................................. 15 1.0 0.75 11.25 

Case Coordinator Questionnaire (Form M–13E) ............................................. 108 1.0 1.00 108.00 

Estimated Annual Burden Hours Total ..................................................... ........................ ........................ ........................ 6,927.95 

ESTIMATED BURDEN HOURS AND OPPORTUNITY COSTS FOR CONTRACTOR MONITORS

Information collection title 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden hours 

per response 

Annual total 

burden hours 

Corrective Action Report (Form M–1) ............................................................. 4 25.0 22.00 2,200.00 

Site Visit and Remote Monitoring Site Visit Guides (Forms M–7A to M–7B) 4 7.0 29.00 812.00 

LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M– 

7C to M–7D) ................................................................................................. 4 1.0 21.00 84.00 

HS/PRS Site Visit Guide (Form M–7E) ........................................................... 4 2.0 21.00 168.00 

Voluntary Agency Site Visit Guide (Form M–7F) ............................................ 4 0.4 28.00 44.80 

Personnel File Checklist (Form M–10A) .......................................................... 4 31.0 1.00 124.00 

Supplement to Personnel File Checklist (Form M–10B) ................................. 4 54.0 1.00 216.00 

Home Study and Post-Release Services Personnel File Checklist (Form M– 

10C) .............................................................................................................. 4 6.0 1.00 24.00 

Long Term Foster Care Foster Parent Checklist (Form M–10D) ................... 4 2.0 0.50 4.00 

Program Staff Questionnaires (Form M–11A–K) ............................................ 4 54.0 1.00 216.00 

Secure Detention Officer Questionnaire (Form M–11L) .................................. 4 0.1 1.00 0.40 

Long Term Foster Care Home Finder Questionnaire (Form M–11M) ............ 4 1.0 1.00 4.00 

Long Term Foster Care Independent Living Life Skills Staff Questionnaire 

(Form M–11N) .............................................................................................. 4 1.0 1.00 4.00 

Long Term Foster Care Foster Parent Questionnaire (Form M–11O) ........... 4 2.0 0.75 6.00 

UC Questionnaires (Forms M–12A, M–12B, and M–12E) .............................. 4 33.0 0.50 66.00 

Long Term Foster Care Client Questionnaire (M–12C) .................................. 4 5.0 0.50 10.00 

Secure Client Questionnaire (Form M–12D) ................................................... 4 0.4 0.50 0.80 

Home Study and Post-Release Services Director Questionnaire (Form M– 

13A) .............................................................................................................. 4 2.0 0.50 4.00 

Home Study and Post-Release Services Caseworker Questionnaire (Form 

M–13B) ......................................................................................................... 4 6.0 1.00 24.00

Legal Service Provider Questionnaire (Form M–13C) .................................... 4 7.0 1.00 28.00 


khammond on DSKJM1Z7X2PROD with NOTICES
48710 Federal Register / Vol. 86, No. 166 / Tuesday, August 31, 2021 / Notices 

ESTIMATED BURDEN HOURS AND OPPORTUNITY COSTS FOR CONTRACTOR MONITORS—Continued 

Information collection title 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden hours 

per response 

Annual total 

burden hours 

Long Term Foster Care Legal Service Provider Questionnaire (Form M– 

13D) .............................................................................................................. 4 1.0 0.75 3.00 

Case Coordinator Questionnaire (Form M–13E) ............................................. 4 8.0 1.00 32.00 

Monitoring Visit (Form M–14) .......................................................................... 4 8.0 0.50 16.00 

Monitoring Schedule (Form M–15) .................................................................. 4 0.3 0.33 0.40 

Estimated Annual Burden Hours Total ..................................................... ........................ ........................ ........................ 4,091.40 

Authority: 6 U.S.C. 279; 8 U.S.C. 

1232; Flores v. Reno Settlement 

Agreement, No. CV85–4544–RJK (C.D. 

Cal. 1996). 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–18660 Filed 8–30–21; 8:45 am] 

BILLING CODE 4184–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; Legal 

Services for Unaccompanied Children 

(0970–0565) 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, Department of Health and 

Human Services. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR), Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS), is proposing to continue 

to collect information that will allow the 

Unaccompanied Children (UC) Program 

to provide legal services to UC. These 

information collections were originally 

approved under emergency approval for 

6 months. This request is to continue 

data collection. This is a time sensitive 

request because all of these forms are 

already in use and must continue to be 

in use in order for the UC Program to 

meet its statutory obligations. 

DATES: Comments due within 30 days of 

publication. OMB is required to make a 

decision concerning the collection of 

information between 30 and 60 days 

after publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. This is a time sensitive 

request because many of these forms are 

already in use and must continue to be 

in use in order for the UC Program to 

meet its statutory obligations. 

SUPPLEMENTARY INFORMATION: 

Description: ORR received several 

comments on this information 

collection in response to the Federal 

Register Notice published on February 

18, 2021, (86 FR 10082) and has 

provided responses to those comments 

in its final submission to OMB. UC Path 

is critical to program operations, and it 

is important that rollout of the new 

system not be delayed. Therefore, the 

below description details what will be 

included in the initial launch of the UC 

Path case management system and 

revisions based on public comments 

will be made after initial launch. ORR 

plans to conduct a deliberative review 

of commenters’ suggestions and 

concerns and submit a request for 

revisions to this information collection 

request in January 2022. The upcoming 

information collection request will also 

include revisions based on feedback 

from UC Path system users (i.e., ORR 

grantee, contractor, and federal staff). 

The components of this information 

request include: 

1. Legal Service Provider List for UC 

in ORR Care (Form LRG–5/5s): This 

instrument is provided to UC by their 

case manager. The instrument contains 

a list of legal services providers 

available to UC. UC initial and sign the 

instrument upon admission and release 

of ORR custody to acknowledge receipt 

of documents contained in ORR’s Legal 

Resource Guide. 

2. Request for a Flores Bond Hearing 

(Form LRG–7/7s): This instrument is 

provided to UC placed by their case 

manager. The instrument is always 

provided to UC placed in a restrictive 

setting (secure, staff secure, and 

residential treatment center facilities) 

and to UC placed in other types of 

facilities upon request. UC may use this 

instrument to request or withdraw a 

request for a Flores bond hearing. 

3. Motion to Request a Bond 

Hearing—Secure or Staff Secure 

Custody (Form LRG–8A): This 

instrument is completed by case 

managers upon receipt of a Request for 

a Flores Bond Hearing for a UC in 

secure or staff secure custody and 

provided to ORR. ORR files the motion 

with the local immigration court. 

4. Motion to Request a Bond 

Hearing—Non-Secure Custody (Form 

LRG–8B): This instrument is completed 

by case managers upon receipt of a 

Request for a Flores Bond Hearing for a 

UC placed in a non-secure program (e.g., 

shelter, foster care) and provided to 

ORR. ORR files the motion with the 

local immigration court. 

5. Request for Specific Consent to 

Juvenile Court Jurisdiction (Form L–1): 

This instrument is used by legal service 

providers and attorneys of record to 

request specific consent from ORR in 

cases where they are seeking Special 

Immigrant Juvenile legal relief for their 

UC client and are also seeking to invoke 

the jurisdiction of a state court to 

determine or alter the UC’s custody 

status or placement. 

6. Specific Consent Request Case 

Summary (Form L–2): This instrument 

is completed by ORR Federal Field 

Specialists (FFS) when ORR receives a 

request for specific consent. FFS 

provide case information that will allow 

the ORR Director to make an informed 

decision on whether to grant specific 

consent. 

7. Notice of Attorney Representation 

(Form L–3): This instrument is 

completed by attorneys of record for UC 

to notify ORR of the purpose of legal 

representation and the representation 

timeframe. ORR uses this instrument to 

ensure that case updates are provided to 

attorneys of record. This instrument 

may also be used by attorneys of record 


khammond on DSKJM1Z7X2PROD with NOTICES