Information Collection Request

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

ICR 202110-0970-001 · OMB 0970-0554 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
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 P-16) 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 P-10B) Form and Instruction New Missing upstream
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 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 UC Profile (Form P-13) 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 (Form P-11) 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 P-9B) 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 P-8) 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 P-5) 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 (Form P-2) 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 Missing upstream
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 IDCollectionTypeStatusForm
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
249641 Family Group Entity (Form P-15) Form and Instruction New
249640 Influx Transfer Request (Form P-10B) Form and Instruction New
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
242798 UC Profile (Form P-13) Form and Instruction Modified
242797 Program Entity (Form P-12) Form and Instruction Modified
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
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
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
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
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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2022
9,658,894 405,250
4,800,879 54,118
0 0





Reginfo record details
19
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, P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version ,   Authorization for Medical, Dental, and Mental Health Care - UC Portal 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 Notice of Placement in a Restrictive Setting (English) ,   Notice of Placement in a Restrictive Setting (Spanish)
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) P-14, P-14 ORR Transfer Notification - UC Path Version ,   ORR Transfer Notification - UC Portal Version
Placement Authorization (Form P-1) P-1, P-1 Placement Authorization - UC Path Version ,   Placement Authorization - UC Portal Version
Program Entity (Form P-12) P-12 Program Entity
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, P-11 Transfer Summary and Tracking - UC Path Version ,   Transfer Summary and Tracking - UC Portal Version
UC Profile (Form P-13) P-13 UC Profile
UC Referral (Form P-7) P-7 UC Referral
UC Referral - Intakes Placement Checklist (Form P-7) P-7 UC Referral

table that charts list of burden
  Total Request 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 9,658,894 405,250 0 9,245,652 7,992 0
Annual Time Burden (Hours) 4,800,879 54,118 0 4,743,431 3,330 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No