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Secure Client Questionnaire (Form M-12D) - Recordkeeping
Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities
OMB: 0970-0564
IC ID: 245619
OMB.report
HHS/ACF
OMB 0970-0564
ICR 202305-0970-015
IC 245619
( )
⚠️ Notice: This information collection may be referencing outdated material.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-12D
Secure Client Questionnaire (Form M-12D) - Recordkeeping
Form and Instruction
Form M-12D Secure Client Questionnaire
Secure UC Questionnaire (Form M-12D).docx
Form and Instruction
Information Collection (IC) Details
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