Unlicensed Facility Program Staff Questionnaires (Forms M-11A-UF to M-11K-UF) - Respondents

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

OMB: 0970-0564

IC ID: 256785

⚠️ Notice: This information collection may be referencing outdated material.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-11A-UF Unlicensed Facility Program Staff Questionnaires (Forms M-11A-UF to M-11K-UF) - Respondents Form and Instruction
Form M-11A-UF Program Director Questionnaire M-11A-UF Program Director Questionnaire.docx Form and Instruction
Form M-11C-UF Clinician Questionnaire M-11C-UF Clinician Questionnaire.docx Form and Instruction
Form M-11E-UF Case Manager Questionnaire M-11E-UF Case Manager Questionnaire.docx Form and Instruction
Form M-11G-UF Education Staff Questionnaire M-11G-UF Education Staff Questionnaire.docx Form and Instruction
Form M-11I-UF Medical Coordinator Questionnaire M-11I-UF Medical Coordinator Questionnaire.docx Form and Instruction
Form M-11J-UF Youth Care Worker Questionnaire M-11J-UF Youth Care Worker Questionnaire.docx Form and Instruction
Form M-11K-UF PSA Compliance Manager Questionnaire M-11K-UF PSA Compliance Manager Questionnaire.docx Form and Instruction

Information Collection (IC) Details

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