Unaccompanied Child Questionnaires (Forms M-12A to M-12B & M-12E) - Respondents

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

OMB: 0970-0564

IC ID: 245614

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0564 can be found here:

2024-03-22 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form Form M-12A Unaccompanied Child Questionnaires (Forms M-12A to M-12B & M-12E) - Respondents Form and Instruction
Form M-12A UC Questionnaire - Ages 6-12 Years Old - English M-12A UC Questionnaire - Ages 6-12 Years Old - Clean.docx Form and Instruction
Form M-12B UC Questionnaire - Ages 13 and Older - English M-12B UC Questionnaire - Ages 13 and Older - Clean.docx Form and Instruction
Form M-12E UC Questionnaire - Ages 5 and Under - English UC Questionnaire - Ages 5 and Under - English (Form M-12E).docx Form and Instruction
Form M-12As UC Questionnaire - Ages 6-12 Years Old - Spanish M-12As UC Questionnaire - Ages 6-12 Years Old Spanish .docx Form and Instruction
Form M-12Bs UC Questionnaire - Ages 13 and Older - Spanish M-12Bs UC Questionnaire - Ages 13 and Older Spanish .docx Form and Instruction
Form M-12Es UC Questionnaire - Ages 5 and Under - Spanish UC Questionnaire - Ages 5 and Under - Spanish (Form M-12Es).docx Form and Instruction

Information Collection (IC) Details

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