Transfer Request (Form P-10A) – Contractor Case Coordinator

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0554 can be found here:

Documents and Forms

Document Name Document Type
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction
P-10A Transfer Request - UC Path Version Transfer Request (Form P-10A) - UC Path.pdf Form and Instruction
P-10A Transfer Request - UC Path Version Transfer Request (Form P-10A) - UC Path.pdf Form and Instruction
P-10A Transfer Request - UC PortalVersion Transfer Request (Form P-10) - UC Portal.pdf Form and Instruction
P-10A Transfer Request - UC PortalVersion Transfer Request (Form P-10) - UC Portal.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Transfer Request (Form P-10A) – Contractor Case Coordinator	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	P-10A	Transfer Request - UC Path Version	Transfer Request (Form P-10A) - UC Path.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	P-10A	Transfer Request - UC PortalVersion	Transfer Request (Form P-10) - UC Portal.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 09-80-0321 ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	9,250	9,250
Annual IC Time Burden (Hours)	3,083	3,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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