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-18p Notice of Administrative Review - Pashto	Form	Modified	Repair queued
Form P-18d Notice of Administrative Review - Dari	Form	Modified	Available
Form P-18s Notice of Administrative Review - Spanish	Form	Modified	Available
Form P-18 Notice of Administrative Review	Form	Modified	Available
Form P-18 Notice of Administrative Review (Form P-18)	Form	Modified	Repair queued
Form P-17 Influx Transfer Manual and Prescreen Criteria Review	Form and Instruction	Modified	Available
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	Form and Instruction	Modified	Repair queued
Form P-16 Influx Transfer Manifest	Form and Instruction	Modified	Available
Form P-16 Influx Transfer Manifest (Form P-16)	Form and Instruction	Modified	Repair queued
Form P-15 Family Group Entity	Form and Instruction	Modified	Available
Form P-15 Family Group Entity (Form P-15)	Form and Instruction	Modified	Repair queued
Form P-10B Influx Transfer Request	Form and Instruction	Modified	Repair queued
Form P-10B Influx Transfer Request (Form P-10B)	Form and Instruction	Modified	Repair queued
Form P-10A Transfer Request - UC PortalVersion	Form and Instruction	Modified	Available
Form P-10A Transfer Request - UC Path Version	Form and Instruction	Modified	Available
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	Modified	Repair queued
Form P-14 ORR Transfer Notification - UC Path Version	Form and Instruction	Modified	Available
Form P-14 ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of Unaccompanied Child 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	Available
Form P-13 UC Profile - UC Portal	Form and Instruction	Modified	Available
Form P-13 Unaccompanied Child 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	Available
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	Available
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	Available
Form P-7 Unaccompanied Child 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 Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified	Repair queued
Form P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto)	Form and Instruction	Modified	Available
Form P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari)	Form and Instruction	Modified	Available
Form P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish)	Form and Instruction	Modified	Available
Form P-4 Notice of Placement in a Restrictive Setting (English)	Form and Instruction	Modified	Available
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction	Modified	Repair queued
Form P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version	Form and Instruction	Modified	Available
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	Available
Form P-1 Placement Authorization (Form P-1)	Form and Instruction	Modified	Repair queued
Extension SSA Attachment A_0970-0554_Placement and Transfer_003_2023 04 24.docx	Supplementary Document	Uploaded 2023-04-25	Repair queued
Extension SSA_0970-0554_Placement and Transfer_003_2023 04 26 - CLEAN.docx	Supporting Statement A	Uploaded 2023-04-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256558	Notice of Administrative Review (Form P-18)	Form	Modified	Notice of Administrative Review - Pashto
256558	Notice of Administrative Review (Form P-18)	Form	Modified	Notice of Administrative Review - Dari
256558	Notice of Administrative Review (Form P-18)	Form	Modified	Notice of Administrative Review - Spanish
256558	Notice of Administrative Review (Form P-18)	Form	Modified	Notice of Administrative Review
256558	Notice of Administrative Review (Form P-18)	Form	Modified
249643	Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	Form and Instruction	Modified	Influx Transfer Manual and Prescreen Criteria Review
249643	Influx Transfer Manual and Prescreen Criteria Review (Form P-17)	Form and Instruction	Modified
249642	Influx Transfer Manifest (Form P-16)	Form and Instruction	Modified	Influx Transfer Manifest
249642	Influx Transfer Manifest (Form P-16)	Form and Instruction	Modified
249641	Family Group Entity (Form P-15)	Form and Instruction	Modified	Family Group Entity
249641	Family Group Entity (Form P-15)	Form and Instruction	Modified
249640	Influx Transfer Request (Form P-10B)	Form and Instruction	Modified	Influx Transfer Request
249640	Influx Transfer Request (Form P-10B)	Form and Instruction	Modified
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	Modified	Transfer Request - UC PortalVersion
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	Modified	Transfer Request - UC Path Version
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	Modified
242799	ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of Unaccompanied Child 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 Unaccompanied Child and Request to Change Address/Venue (Form P-14)	Form and Instruction	Modified
242798	Unaccompanied Child Profile (Form P-13)	Form and Instruction	Modified	Add New UC (Form P-13) - UC Path
242798	Unaccompanied Child Profile (Form P-13)	Form and Instruction	Modified	UC Profile - UC Portal
242798	Unaccompanied Child 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	Unaccompanied Child Referral (Form P-7)	Form and Instruction	Modified	Intakes Placement Checklist - PDF
242791	Unaccompanied Child Referral (Form P-7)	Form and Instruction	Modified	UC Referral
242791	Unaccompanied Child Referral (Form P-7)	Form and Instruction	Modified
242790	Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified	Long Term Foster Care Placement Memo
242790	Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified
242789	Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (Pashto)
242789	Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (Dari)
242789	Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (Spanish)
242789	Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction	Modified	Notice of Placement in a Restrictive Setting (English)
242789	Notice of Placement in a Restrictive Setting (Form P-4)	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: 202304-0970-009
Status: Historical Active	Previous ICR Reference No: 202212-0970-013
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 without change	Conclusion Date: 06/12/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/28/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	36 Months From Approved	06/30/2023
Responses	15,438,378	0	9,659,030
Time Burden (Hours)	7,649,415	0	4,801,053
Cost Burden (Dollars)	0	0	0

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Abstract: The UC Program provides care and custody for unaccompanied children 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 children in ORR custody. Generally, care provider facilities are State licensed (with the exception of those located in states unwilling to license them and temporary emergency 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. ORR uses several instruments directly related to the care of unaccompanied children. The instruments in this information collection allow ORR to place unaccompanied children referred to ORR by federal agencies into care provider facilities and to transfer children within the ORR care provider network. The current request is to continue data collection for all forms approved under this information collection, including those for which emergency approval was granted, as well as additional revisions to the following instruments: Notice of Placement in a Restrictive Setting (Form P-4) and Community-Based Care Placement Memo (formerly titled Long Term Foster Care Placement Memo) (Form P-5). This information collection was most recently approved under emergency approval for six months, as authorized under 44 U.S.C. 3507(subsection j), due to an unanticipated event that could have reasonably caused a court-ordered deadline to be missed if normal Paperwork Reduction Act (PRA) clearance procedures were followed. This request is to continue data collection for all forms approved under this information collection, including those for which emergency approval was granted, as well as additional revisions. See A2 and A15 below for additional details. On June 29, 2018, Plaintiffs filed their federal class action lawsuit in the Central District of California, western division, captioned Lucas R. et al v. Azar et al (Case No. CV 18-5741-DMG (PLAx)), asserting claims under the Flores consent decree, the Trafficking Victims Protection Reauthorization Act, the Due Process clause, and the First Amendment. Plaintiffs alleged violation of unaccompanied child rights in decisions regarding family reunification, placement in restrictive facilities, administration of psychotropic medication, and access to legal assistance. On August 30, 2022, the Court issued a Preliminary Injunction in response to the Cross-Motions for Summary Judgement on the family reunification, restrictive placement, and legal services claims. As part of that injunction, the court obligated ORR to expand specific policy and procedural protections to category 2 sponsors, children who wish to challenge placement in restrictive settings, and children seeking access to legal counsel by the time the Final Order took effect. Those policy and procedural protections include specific changes regarding notification of rights and documentation of restrictive placement, both of which required a new instrument and revision to an existing instrument in this information collection. The Final Order took effect on October 29, 2022.

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Authorizing Statute(s): US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   US Code: 8 USC 1232 Name of Law: Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
   PL: Pub.L. 113 - 4 1101(c) Name of Law: Violence Against Women Reauthorization Act of 2013
  

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:
	87 FR 78973	12/23/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 26314	04/28/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 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	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
Foster Care Placement Memo (Form P-5)	P-5	Long Term Foster Care Placement Memo
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
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 Administrative Review (Form P-18)	P-18, P-18s, P-18d, P-18p	Notice of Administrative Review ,   Notice of Administrative Review - Spanish ,   Notice of Administrative Review - Dari ,   Notice of Administrative Review - Pashto
Notice of Placement in a Restrictive Setting (Form P-4)	P-4, P-4 (ESP), P-4 (PRS), P-4 (PUS)	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 Unaccompanied Child 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
Unaccompanied Child Profile (Form P-13)	P-13, P-13	UC Profile - UC Portal ,   Add New UC (Form P-13) - UC Path
Unaccompanied Child 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	15,438,378	9,659,030	0	0	5,779,348	0
Annual Time Burden (Hours)	7,649,415	4,801,053	0	0	2,848,362	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is to extend approval of a request that was approved for six months under an emergency request. This current request includes revisions, as outlined is section A15 of Supporting Statement A, under “Currently Proposed Revisions.” Revisions that were approved most recently are also outlined.

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Annual Cost to Federal Government: $12,098,199

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: 04/28/2023

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