RSS PROPOSAL ORR REQUIREMENTS 8.13.2024-COMPRESSED-PART-2.pdf
PDF 1 MB Posted
- Attached to
- 1661-25-R-RFQF-00001
- Solicitation number
- 3140003954
- Issued by
- Mississippi
About this file
The document is an Office of Refugee Resettlement (ORR) Refugee Social Services Program (RSSP) proposal form that includes instructions and data fields for collecting information about refugees receiving benefits and services. The RSSP supports employability services and other services to address barriers to employment such as social adjustment, interpretation and translation, day care for children, and citizenship and naturalization. The required information includes the refugee's alien number, personal details, migration status, enrollment and exit dates for various assistance programs, and details about their Family Self-Sufficiency Plan including their English ability, education level, initial primary goal, and referrals.
The related state and local contract opportunity is for the RSSP program in the state of Mississippi. The contract ID is 1661-25-R-RFQF-00001 and the state ID is 65a95d7ad947088ac30981fa. No further details about the procurement are provided in the document.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachments A
Attachments B
| OMB #: 0970-0043 |
| Expiration Date: 04/30/2024 |
| OFFICE OF REFUGEE RESETTLEMENT |
| PURPOSE AND OVERVIEW: |
| INSTRUCTIONS: |
| Section I: Basic Information |
| 1. Alien Number |
| Mandatory: Yes |
| Instruction: Enter a six- to nine-digit, or fifteen-digit number without any hyphens or spaces between the numbers. Do not enter an “A” at the beginning of the number. |
| i. For individuals who are eligible for ORR benefits and services but are not in possession of an Alien Number at the time of enrollment, states should create a 15-digit ORR alternative identifier in the format of “999xxxzzzzzzzzz”. All ORR alternati... |
| ii. For U.S.-born children under 18 years of age receiving ORR benefits, do not enter the child’s social security number or parent’s alien number in the Alien Number field. For these cases, states should list a 9-digit number in the format of “yyxxxz... |
| Possible values: 111111…999999999999999 |
| 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 |
| 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. Medical Screening Enrollment Date |
| 22. Medical Screening Exit Date |
| 23. Refugee Support Services (RSS) Enrollment Date |
| 24. RSS Exit Date |
| Section II: RSS Family Self-Sufficiency Plan (FSSP) Initial Assessment |
| 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 |
| Section III: RSS FSSP 12-Month Follow-Up |
| 29. Refugee Arrivals Data System (RADS) Case ID |
| 30. RADS Individual ID |
| 31. Alien Number |
| 32. RSS FSSP Initial Primary Goal Met? |
| 33. RSS FSSP Employment Status |
| 35. RSS FSSP How Was 12-Month Follow-Up Information Collected? |
File details come from the government source that posted it. Updated .