Information Collection

Notice of Placement in a Restrictive Setting (Form P-4)

IC 242789 under ICR 202308-0970-009 · OMB 0970-0554.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0554 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction
P-4 Notice of Placement in a Restrictive Setting (English) Notice of Placement in a Restrictive Setting (Form P-4) English.pdf	Form and Instruction
P-4 Notice of Placement in a Restrictive Setting (English) Notice of Placement in a Restrictive Setting (Form P-4) English.pdf	Form and Instruction
P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish) TR109_P-4 (ESP) Notice of Placement in a Restrictive Setting_v6_Spanish_DRAFT.docx	Form and Instruction
P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish) TR109_P-4 (ESP) Notice of Placement in a Restrictive Setting_v6_Spanish_DRAFT.docx	Form and Instruction
P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari) TR109_P-4 (PRS) Notice of Placement in a Restrictive Setting_v6_Dari Persian_DRAFT.docx	Form and Instruction
P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari) TR109_P-4 (PRS) Notice of Placement in a Restrictive Setting_v6_Dari Persian_DRAFT.docx	Form and Instruction
P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto) TR109_P-4 (PUS) Notice of Placement in a Restrictive Setting_v6_Pashto_DRAFT.docx	Form and Instruction
P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto) TR109_P-4 (PUS) Notice of Placement in a Restrictive Setting_v6_Pashto_DRAFT.docx	Form and Instruction

IC Title:

Notice of Placement in a Restrictive Setting (Form P-4)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	P-4	Notice of Placement in a Restrictive Setting (English)	Notice of Placement in a Restrictive Setting (Form P-4) English.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	P-4 (ESP)	Notice of Placement in a Restrictive Setting (Spanish)	TR109_P-4 (ESP) Notice of Placement in a Restrictive Setting_v6_Spanish_DRAFT.docx	Yes	Yes	Fillable Fileable
Form and Instruction	P-4 (PRS)	Notice of Placement in a Restrictive Setting (Dari)	TR109_P-4 (PRS) Notice of Placement in a Restrictive Setting_v6_Dari Persian_DRAFT.docx	Yes	Yes	Fillable Fileable
Form and Instruction	P-4 (PUS)	Notice of Placement in a Restrictive Setting (Pashto)	TR109_P-4 (PUS) Notice of Placement in a Restrictive Setting_v6_Pashto_DRAFT.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: 09-80-0321 ORR Division of Children's Services Records

FR Citation: 81 FR 46682

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,710	1,710
Annual IC Time Burden (Hours)	564	564
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.