Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form P-17 Influx Transfer Manual and Prescreen Criteria Review	Form and Instruction	New	Repair queued
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	Form and Instruction	New	Repair queued
Form P-16 Influx Transfer Manifest	Form and Instruction	New	Repair queued
Form P-16 Influx Transfer Manifest (Form P-16)	Form and Instruction	New	Repair queued
Form P-15 Family Group Entity	Form and Instruction	New	Repair queued
Form P-15 Family Group Entity (Form P-15)	Form and Instruction	New	Repair queued
Form P-10B Influx Transfer Request	Form and Instruction	New	Repair queued
Form P-10B Influx Transfer Request (Form P-10B)	Form and Instruction	New	Repair queued
Form P-10A Transfer Request - UC PortalVersion	Form and Instruction	New	Repair queued
Form P-10A Transfer Request - UC Path Version	Form and Instruction	New	Repair queued
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	New	Repair queued
Form P-7 UC Referral - Intakes Placement Checklist (Form P-7)	Form and Instruction	New	Available
Form P-14 ORR Transfer Notification - UC Path Version	Form and Instruction	Modified	Repair queued
Form P-14 ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14)	Form and Instruction	Modified	Repair queued
Form P-13 Add New UC (Form P-13) - UC Path	Form and Instruction	Modified	Repair queued
Form P-13 UC Profile - UC Portal	Form and Instruction	Modified	Repair queued
Form P-13 UC Profile (Form P-13)	Form and Instruction	Modified	Repair queued
Form P-12 UC Portal Capacity Report (Form P-12) - UC Portal	Form and Instruction	Modified	Repair queued
Form P-12 Program Entity - UC Path	Form and Instruction	Modified	Repair queued
Form P-12 Program Entity (Form P-12)	Form and Instruction	Modified	Repair queued
Form P-11 Transfer Summary and Tracking - UC Path Version	Form and Instruction	Modified	Repair queued
Form P-11 Transfer Summary and Tracking (Form P-11)	Form and Instruction	Modified	Repair queued
Form P-10A Transfer Request - UC Portal Version	Form and Instruction	Modified	Repair queued
Form P-10A Transfer Request - UC Path Version	Form and Instruction	Modified	Repair queued
Form P-10A Transfer Request (Form P-10A) – Grantee Case Manager	Form and Instruction	Modified	Repair queued
Form P-9B Medical Checklist for Influx Transfers	Form and Instruction	Modified	Repair queued
Form P-9B Medical Checklist for Influx Transfers (Form P-9B)	Form and Instruction	Modified	Repair queued
Form P-9A Medical Checklist for Transfers	Form and Instruction	Modified	Repair queued
Form P-9A Medical Checklist for Transfers (Form P-9A)	Form and Instruction	Modified	Repair queued
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities	Form and Instruction	Modified	Repair queued
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	Form and Instruction	Modified	Repair queued
Form P-7 Intakes Placement Checklist - PDF	Form and Instruction	Modified	Repair queued
Form P-7 UC Referral	Form and Instruction	Modified	Repair queued
Form P-7 UC Referral (Form P-7)	Form and Instruction	Modified	Repair queued
Form P-5 Long Term Foster Care Placement Memo	Form and Instruction	Modified	Repair queued
Form P-5 Long Term Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified	Repair queued
Form P-4p Notice of Placement in a Restrictive Setting (Pashto)	Form and Instruction	Modified	Repair queued
Form P-4d Notice of Placement in a Restrictive Setting (Dari)	Form and Instruction	Modified	Repair queued
Form P-4s Notice of Placement in a Restrictive Setting (Spanish)	Form and Instruction	Modified	Repair queued
Form P-4 Notice of Placement in a Restrictive Setting (English)	Form and Instruction	Modified	Repair queued
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form and Instruction	Modified	Repair queued
Form P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version	Form and Instruction	Modified	Repair queued
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2)	Form and Instruction	Modified	Repair queued
Form P-1 Placement Authorization - UC Path Version	Form and Instruction	Modified	Repair queued
Form P-1 Placement Authorization (Form P-1)	Form and Instruction	Modified	Repair queued
SSA Attachment A_0970-0554_Placement and Transfer_002_2021 10 04 FINAL.docx	Supplementary Document	Uploaded 2021-10-05	Repair queued
SSA_0970-0554_Placement and Transfer_002_2021 10 05 FINAL.docx	Supporting Statement A	Uploaded 2021-10-05	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249643	Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	Form and Instruction	New	Influx Transfer Manual and Prescreen Criteria Review
249643	Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	Form and Instruction	New
249642	Influx Transfer Manifest (Form P-16)	Form and Instruction	New	Influx Transfer Manifest
249642	Influx Transfer Manifest (Form P-16)	Form and Instruction	New
249641	Family Group Entity (Form P-15)	Form and Instruction	New	Family Group Entity
249641	Family Group Entity (Form P-15)	Form and Instruction	New
249640	Influx Transfer Request (Form P-10B)	Form and Instruction	New	Influx Transfer Request
249640	Influx Transfer Request (Form P-10B)	Form and Instruction	New
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	New	Transfer Request - UC PortalVersion
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	New	Transfer Request - UC Path Version
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	New
249638	UC Referral - Intakes Placement Checklist (Form P-7)	Form and Instruction	New
242799	ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14)	Form and Instruction	Modified	ORR Transfer Notification - UC Path Version
242799	ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14)	Form and Instruction	Modified
242798	UC Profile (Form P-13)	Form and Instruction	Modified	Add New UC (Form P-13) - UC Path
242798	UC Profile (Form P-13)	Form and Instruction	Modified	UC Profile - UC Portal
242798	UC Profile (Form P-13)	Form and Instruction	Modified
242797	Program Entity (Form P-12)	Form and Instruction	Modified	UC Portal Capacity Report (Form P-12) - UC Portal
242797	Program Entity (Form P-12)	Form and Instruction	Modified	Program Entity - UC Path
242797	Program Entity (Form P-12)	Form and Instruction	Modified
242796	Transfer Summary and Tracking (Form P-11)	Form and Instruction	Modified	Transfer Summary and Tracking - UC Path Version
242796	Transfer Summary and Tracking (Form P-11)	Form and Instruction	Modified
242795	Transfer Request (Form P-10A) – Grantee Case Manager	Form and Instruction	Modified	Transfer Request - UC Portal Version
242795	Transfer Request (Form P-10A) – Grantee Case Manager	Form and Instruction	Modified	Transfer Request - UC Path Version
242795	Transfer Request (Form P-10A) – Grantee Case Manager	Form and Instruction	Modified
242794	Medical Checklist for Influx Transfers (Form P-9B)	Form and Instruction	Modified	Medical Checklist for Influx Transfers
242794	Medical Checklist for Influx Transfers (Form P-9B)	Form and Instruction	Modified
242793	Medical Checklist for Transfers (Form P-9A)	Form and Instruction	Modified	Medical Checklist for Transfers
242793	Medical Checklist for Transfers (Form P-9A)	Form and Instruction	Modified
242792	Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	Form and Instruction	Modified	Care Provider Checklist for Transfers to Influx Care Facilities
242792	Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	Form and Instruction	Modified
242791	UC Referral (Form P-7)	Form and Instruction	Modified	Intakes Placement Checklist - PDF
242791	UC Referral (Form P-7)	Form and Instruction	Modified	UC Referral
242791	UC Referral (Form P-7)	Form and Instruction	Modified
242790	Long Term Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified	Long Term Foster Care Placement Memo
242790	Long Term Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (Pashto)
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (Dari)
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (Spanish)
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (English)
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s)	Form and Instruction	Modified
242788	Authorization for Medical, Dental, and Mental Health Care (Form P-2)	Form and Instruction	Modified	Authorization for Medical, Dental, and Mental Health Care - UC Path Version
242788	Authorization for Medical, Dental, and Mental Health Care (Form P-2)	Form and Instruction	Modified
242787	Placement Authorization (Form P-1)	Form and Instruction	Modified	Placement Authorization - UC Path Version
242787	Placement Authorization (Form P-1)	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0554	ICR Reference No: 202110-0970-001
Status: Historical Active	Previous ICR Reference No: 202012-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/02/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/12/2021
Terms of Clearance: We appreciate the agency's partnership with OMB on making revisions to this information collection. The agency published a supplemental 30-day comment period on this collection to address previous issues with drop down menus and providing another opportunity for the public to comment. We also thank the agency for revising previous questions on criminal history and gang affiliation to focus on contemporaneous behavior and challenges to inform placement and transfer decisions.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	36 Months From Approved	09/30/2022
Responses	9,658,830	0	405,250
Time Burden (Hours)	4,800,887	0	54,118
Cost Burden (Dollars)	0	0	0

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Abstract: ORR’s UC Program provides care and custody for UC 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 UC 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. The instruments in this information collection allow ORR to place UC referred to ORR by Federal agencies into care provider facilities and to transfer UC within the ORR care provider network.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 5196	01/19/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 56269	10/08/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 18

table that charts list of burden

IC Title	Form No.	Form Name
Authorization for Medical, Dental, and Mental Health Care (Form P-2)	P-2	Authorization for Medical, Dental, and Mental Health Care - UC Path Version
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	P-8	Care Provider Checklist for Transfers to Influx Care Facilities
Family Group Entity (Form P-15)	P-15	Family Group Entity
Influx Transfer Manifest (Form P-16)	P-16	Influx Transfer Manifest
Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	P-17	Influx Transfer Manual and Prescreen Criteria Review
Influx Transfer Request (Form P-10B)	P-10B	Influx Transfer Request
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, P-4d, P-4p	Notice of Placement in a Restrictive Setting (English) ,   Notice of Placement in a Restrictive Setting (Spanish) ,   Notice of Placement in a Restrictive Setting (Dari) ,   Notice of Placement in a Restrictive Setting (Pashto)
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14)	P-14	ORR Transfer Notification - UC Path Version
Placement Authorization (Form P-1)	P-1	Placement Authorization - UC Path Version
Program Entity (Form P-12)	P-12, P-12	Program Entity - UC Path ,   UC Portal Capacity Report (Form P-12) - UC Portal
Transfer Request (Form P-10A) – Contractor Case Coordinator	P-10A, P-10A	Transfer Request - UC Path Version ,   Transfer Request - UC PortalVersion
Transfer Request (Form P-10A) – Grantee Case Manager	P-10A, P-10A	Transfer Request - UC Path Version ,   Transfer Request - UC Portal Version
Transfer Summary and Tracking (Form P-11)	P-11	Transfer Summary and Tracking - UC Path Version
UC Profile (Form P-13)	P-13, P-13	UC Profile - UC Portal ,   Add New UC (Form P-13) - UC Path
UC Referral (Form P-7)	P-7, P-7	UC Referral ,   Intakes Placement Checklist - PDF

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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	9,658,830	405,250	0	9,245,588	7,992	0
Annual Time Burden (Hours)	4,800,887	54,118	0	4,743,439	3,330	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: ORR revised all 13 instruments currently approved under OMB #0970-0554, all of which will be incorporated into ORR’s new case management system, UC Path. Five of the instruments contain revisions to the formatting, organization, or wording of field labels with no changes to the content. The remaining eight instruments contain changes in content. In addition, ORR proposes to add four new instruments to this collection that will also be incorporated into UC Path. Finally, ORR plans to 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 package 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. ORR plans to remove the term “alien” from the title of this information collection and revise it to read “Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities.” ORR intends to conduct a phased rollout of the UC Path system. Beginning September 2021, ORR plans to roll the UC Path system out to a small group of care provider programs. ORR will gradually expand use of the system to other programs and expects all care provider programs will be using UC Path by Spring 2022. To ensure continuity of operations, care provider programs will need the ability to continue using instruments in the UC Portal system and in other formats (e.g., PDF, Excel) while they are waiting to transition over to the UC Path system. Therefore, ORR requests OMB’s approval to continue use of the following instruments, concurrently with the UC Path versions of the same instruments until all care provider programs are using UC Path. Although all care providers are expected to be using UC Path by Spring 2022, ORR requests approval to continue using these instruments for up to one year to account for any unexpected technical issues that may arise during rollout. These versions were last approved by OMB on March 10, 2021.

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Annual Cost to Federal Government: $371,767,368

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

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Common Form ICR:  No

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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: 10/12/2021

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