Information Collection Request

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

ICR 202308-0970-009 · OMB 0970-0554 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form P-12B Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction New Available
Form P-12A Bed Configuration Module (Form P-12A) Form and Instruction New Repair queued
Form P-10B Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction Unchanged Repair queued
Form P-18 Notice of Administrative Review (Form P-18) Form Unchanged Available
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction Unchanged Missing upstream
Form P-16 Influx Transfer Manifest (Form P-16) Form and Instruction Unchanged Repair queued
Form P-15 Family Group Entity (Form P-15) Form and Instruction Unchanged Repair queued
Form P-10B Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction Unchanged Repair queued
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction Unchanged Repair queued
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 Unchanged Repair queued
Form P-13 Unaccompanied Child Profile (Form P-13) Form and Instruction Unchanged Repair queued
Form P-12C Program Entity (Form P-12C) Form and Instruction Modified Repair queued
Form P-11 Transfer Summary and Tracking (Form P-11) Form and Instruction Unchanged Repair queued
Form P-10A Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction Unchanged Repair queued
Form P-9B Medical Checklist for Influx Transfers (Form P-9B) Form and Instruction Unchanged Repair queued
Form P-9A Medical Checklist for Transfers (Form P-9A) Form and Instruction Unchanged Missing upstream
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction Unchanged Missing upstream
Form P-7 Unaccompanied Child Referral (Form P-7) Form and Instruction Unchanged Missing upstream
Form P-5 Foster Care Placement Memo (Form P-5) Form and Instruction Unchanged Repair queued
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction Unchanged Repair queued
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction Unchanged Missing upstream
Form P-1 Placement Authorization (Form P-1) Form and Instruction Unchanged Repair queued
Nonsub Memo_0970-0554_Placement and Transfer_007 _2023 08 30.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-08-30 Repair queued
Appendix A - P-10 Transfer Request Revisions.xlsx Supplementary Document Uploaded 2023-08-09 Repair queued
Nonsub Memo_0970-0554_Placement and Transfer_004 _2023 08 08.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-08-09 Repair queued
Extension SSA Attachment A_0970-0554_Placement and Transfer_003_2023 04 24.docx Supplementary Document Uploaded 2023-04-25 Available
Extension SSA_0970-0554_Placement and Transfer_007_2023 08 30 CLEAN v3.docx Supporting Statement A Uploaded 2023-08-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261944 Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction New
261943 Bed Configuration Module (Form P-12A) Form and Instruction New
261526 Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction Unchanged
256558 Notice of Administrative Review (Form P-18) Form Unchanged
249643 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction Unchanged
249642 Influx Transfer Manifest (Form P-16) Form and Instruction Unchanged
249641 Family Group Entity (Form P-15) Form and Instruction Unchanged
249640 Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction Unchanged
249639 Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction Unchanged
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 Unchanged
242798 Unaccompanied Child Profile (Form P-13) Form and Instruction Unchanged
242797 Program Entity (Form P-12C) Form and Instruction Modified
242796 Transfer Summary and Tracking (Form P-11) Form and Instruction Unchanged
242795 Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction Unchanged
242794 Medical Checklist for Influx Transfers (Form P-9B) Form and Instruction Unchanged
242793 Medical Checklist for Transfers (Form P-9A) Form and Instruction Unchanged
242792 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction Unchanged
242791 Unaccompanied Child Referral (Form P-7) Form and Instruction Unchanged
242790 Foster Care Placement Memo (Form P-5) Form and Instruction Unchanged
242789 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction Unchanged
242788 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction Unchanged
242787 Placement Authorization (Form P-1) Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
06/30/2026 06/30/2026
15,574,965 15,449,205
7,659,395 7,639,035
0 0





Reginfo record details
22
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
Bed Assignment and Capacity Overview Module (Form P-12B) P-12B Bed Assignment Capacity Overview Module
Bed Configuration Module (Form P-12A) P-12A Bed Configuration Module
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
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
Placement Confirmation (Form P-10B) – Contractor Case Coordinator P-10B Placement Confirmation
Placement Confirmation (Form P-10B) – Grantee Case Manager P-10B Placement Confirmation
Program Entity (Form P-12C) P-12C, P-12 Program Entity ,   UC Portal Capacity Report (Form P-12) - UC Portal
Transfer Request (Form P-10A) – Contractor Case Coordinator P-10A Transfer Request
Transfer Request (Form P-10A) – Grantee Case Manager P-10A Transfer Request
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

table that charts list of burden
  Total Request 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 15,574,965 15,449,205 0 125,760 0 0
Annual Time Burden (Hours) 7,659,395 7,639,035 0 20,360 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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