Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents

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

OMB: 0970-0564

IC ID: 256789

⚠️ Notice: This information collection may be referencing outdated material.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-UF Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents Form and Instruction
Form M-12A-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 6-12 Years Old English M-12A-UF UC Questionnaire - Ages 6-12 Years Old English.docx Form and Instruction
Form M-12As-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 6-12 Years Old Spanish M-12As-UF UC Questionnaire - Ages 6-12 Years Old Spanish.docx Form and Instruction
Form M-12B-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 13 and Older English M-12B-UF UC Questionnaire - Ages 13 and Older English.docx Form and Instruction
Form M-12Bs-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 13 and Older Spanish M-12Bs-UF UC Questionnaire - Ages 13 and Older Spanish.docx Form and Instruction
Form M-12E-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 5 and Under - English M-12E-UF UC Questionnaire - Ages 5 and Under - English.docx Form and Instruction
Form M-12Es-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 5 and Under Spanish M-12Es-UF UC Questionnaire - Ages 5 and Under Spanish.docx Form and Instruction

Information Collection (IC) Details

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