Checklist for a Child-Friendly Environment (Form M-4a to M-4B)

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

OMB: 0970-0564

IC ID: 245579

Information Collection (IC) Details

View Information Collection (IC)

Checklist for a Child-Friendly Environment (Form M-4a to M-4B)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form M-4A Checklist for a Child-Friendly Environment - Care Provider Facility Checklist for a Child-Friendly Environment - Care Provider Facility (Form M-4A).pdf Yes Yes Fillable Fileable
Form and Instruction Form M-4B Checklist for a Child-Friendly Environment - Individual Foster Home Checklist for a Child-Friendly Environment - Individual Foster Home (Form M-4B).pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

ORR Unaccompanied Refugee Minors Records  81 FR 46682

262 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,144 0 0 0 0 3,144
Annual IC Time Burden (Hours) 786 0 0 0 0 786
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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