Unlicensed Facility Personnel File Checklist (Form M-10A-UF) - Recordkeeping

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

OMB: 0970-0564

IC ID: 256783

Information Collection (IC) Details

View Information Collection (IC)

Unlicensed Facility Personnel File Checklist (Form M-10A-UF) - Recordkeeping
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form M-10A-UF Unlicensed Facility Personnel File Checklist 2 - Personnel File Checklist (Form M-10A-UF).xlsx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

18 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 900 0 900 0 0 0
Annual IC Time Burden (Hours) 900 0 900 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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