Placement and Transfer of Unaccompanied Alien Children into ORR Care Provider Facilities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form P-14 Notice of Transfer to ICE Chief Counsel - Change of Address/Change of Venue	Form	New	Available
Form P-13 Add New UAC	Form	New	Available
Form P-12 UAC Portal Capacity Report	Form	New	Repair queued
Form P-11 Transfer Request and Tracking Form	Form	New	Available
Form P-10 Transfer Request	Form	New	Available
Form P-9B Medical Checklist for Influx Transfers	Form	New	Available
Form P-9A Medical Checklist for Transfers	Form	New	Available
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities	Form	New	Available
Form P-7 Intakes Placement Checklist	Form	New	Available
Form P-5 Long Term Foster Care Placement Memo	Form	New	Available
Form P-4s Notice of Placement in a Restrictive Setting (Form P-4s)	Form	New	Available
Form P-4 Notice of Placement in a Restrictive Setting (P-4)	Form	New	Available
Form P-2 Authorization for Medical, Dental, and Mental Health Care	Form	New	Repair queued
Form P-1 Placement Authorization	Form	New	Available
Supporting Statement - Placement and Transfer (07.07.20) CLEAN.docx	Supporting Statement A	Uploaded 2020-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242799	Notice of Transfer to ICE Chief Counsel - Change of Address/Change of Venue (Form P-14)	Form	New	Notice of Transfer to ICE Chief Counsel - Change of Address/Change of Venue
242798	Add New UAC (Form P-13)	Form	New	Add New UAC
242797	UAC Portal Capacity Report (Form P-12)	Form	New	UAC Portal Capacity Report
242796	Transfer Request and Tracking Form (Form P-11)	Form	New	Transfer Request and Tracking Form
242795	Transfer Request (Form P-10)	Form	New	Transfer Request
242794	Medical Checklist for Influx Transfers (Form P-9B)	Form	New	Medical Checklist for Influx Transfers
242793	Medical Checklist for Transfers (Form P-9A)	Form	New	Medical Checklist for Transfers
242792	Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	Form	New	Care Provider Checklist for Transfers to Influx Care Facilities
242791	Intakes Placement Checklist (Form P-7)	Form	New	Intakes Placement Checklist
242790	Long Term Foster Care Placement Memo (Form P-5)	Form	New	Long Term Foster Care Placement Memo
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form	New	Notice of Placement in a Restrictive Setting (Form P-4s)
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form	New	Notice of Placement in a Restrictive Setting (P-4)
242788	Authorization for Medical, Dental, and Mental Health Care (Form P-2)	Form	New	Authorization for Medical, Dental, and Mental Health Care
242787	Placement Authorization (Form P-1)	Form	New	Placement Authorization

ICR Details

OMB Control No: 0970-0554	ICR Reference No: 202007-0970-016
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Placement and Transfer of Unaccompanied Alien Children into ORR Care Provider Facilities
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 07/28/2020
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/31/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/27/2020
Terms of Clearance: We appreciate ACF's willingness to continue our productive discussions on the appropriate uses of information submitted in response to the escape risk question at the next submission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	6 Months From Approved
Responses	405,250	0	0
Time Burden (Hours)	54,118	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: ORR’s Unaccompanied Alien Children (UAC) Program provides care and custody for UAC until they can be safely released to a sponsor, repatriated to their home country, or obtain legal status. ORR funds residential care provider facilities that provide temporary housing and other services to UAC in ORR custody. Care provider facilities are State licensed, with the exception of temporary influx care facilities, and must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management. ORR is submitting several instruments directly related to the care of UAC for processing pursuant to the Paperwork Reduction Act. These instruments allow ORR to place UAC referred to ORR by Federal agencies into care provider facilities and to transfer UAC within the ORR care provider network. The proposed instruments are: • Placement Authorization (Form P-1) • Authorization for Medical, Dental, and Mental Health Care (Form P-2) • Notice of Placement in a Restrictive Setting (Form P-4/4s) • Long Term Foster Care Placement Memo (Form P-5) • Intakes Placement Checklist (Form P-7) • Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) • Medical Checklist for Transfers (Form P-9A) • Medical Checklist for Influx Transfers (Form P-9B) • Transfer Request (Form P-10) • Transfer Request and Tracking Form (Form P-11) • UAC Portal Capacity Report (Form P-12) • Add New UAC (Form P-13) • Notice of Transfer to Immigration and Customs Enforcement’s (ICE) Chief Counsel – Change of Address/Change of Venue (Form P-14)

Emergency Justfication: This information collection consists of several instruments that allow the UAC Program to place UAC referred to ORR by Federal agencies into care provider facilities and to transfer UAC within the ORR care provider network. 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 UAC Program to meet its statutory obligations. Seven of these ICs are currently approved under OMB #0970-0498 (expiration date: 7/31/20). ORR is reorganizing the instruments currently approved under OMB #0970-0498 into separate collections based on the purpose of the information collected. This Placement and Transfer collection includes seven instruments from OMB #0970-0498 that are related to services provided to UAC as well as six additional instruments that fall under this information collection category and are subject to PRA and require approval by OMB.

---

Authorizing Statute(s): US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   US Code: 8 USC 1232 Name of Law: Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 44897	07/24/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Add New UAC (Form P-13)	P-13	Add New UAC
Authorization for Medical, Dental, and Mental Health Care (Form P-2)	P-2	Authorization for Medical, Dental, and Mental Health Care
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	P-8	Care Provider Checklist for Transfers to Influx Care Facilities
Intakes Placement Checklist (Form P-7)	P-7	Intakes Placement Checklist
Long Term Foster Care Placement Memo (Form P-5)	P-5	Long Term Foster Care Placement Memo
Medical Checklist for Influx Transfers (Form P-9B)	P-9B	Medical Checklist for Influx Transfers
Medical Checklist for Transfers (Form P-9A)	P-9A	Medical Checklist for Transfers
Notice of Placement in a Restrictive Setting (Form P-4/4s)	P-4, P-4s	Notice of Placement in a Restrictive Setting (P-4) ,   Notice of Placement in a Restrictive Setting (Form P-4s)
Notice of Transfer to ICE Chief Counsel - Change of Address/Change of Venue (Form P-14)	P-14	Notice of Transfer to ICE Chief Counsel - Change of Address/Change of Venue
Placement Authorization (Form P-1)	P-1	Placement Authorization
Transfer Request (Form P-10)	P-10	Transfer Request
Transfer Request and Tracking Form (Form P-11)	P-11	Transfer Request and Tracking Form
UAC Portal Capacity Report (Form P-12)	P-12	UAC Portal Capacity Report

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	405,250	0	0	405,250	0	0
Annual Time Burden (Hours)	54,118	0	0	54,118	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

---

Annual Cost to Federal Government: $1,841,957

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/27/2020

---