Incident Reviews (Forms M-5A to M-5B)

Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities

OMB: 0970-0564

IC ID: 245580

Information Collection (IC) Details

View Information Collection (IC)

Incident Reviews (Forms M-5A to M-5B)
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form M-5A UAC Incident Review 06 - UAC Incident Review (Form M-5A).pdf Yes Yes Fillable Fileable
Form and Instruction Form M-5B Adult Incident Review 07 - Adult Incident Review (Form M-5B).pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

216 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved 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 65 0 65 0 0 0
Annual IC Time Burden (Hours) 97 0 97 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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