Information Collection

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

IC 256789 under ICR 202403-0970-014 · OMB 0970-0564.

Documents and Forms

Documents and forms in this information collection
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 Form M-12A-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 6-12 Years Old English Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents	Form and Instruction
Form Form M-12As-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 6-12 Years Old Spanish Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents	Form and Instruction
Form Form M-12B-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 13 and Older English Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents	Form and Instruction
Form Form M-12Bs-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 13 and Older Spanish Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents	Form and Instruction
Form Form M-12E-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 5 and Under - English Unlicensed Facility Unaccompanied Child Questionnaires (M-12A-UF to M-12B-UF & M-12E-UF) - Respondents	Form and Instruction
Form Form M-12Es-UF Unlicensed Facility Unaccompanied Child Questionnaire - Ages 5 and Under Spanish 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 - M-12A-UF UC Questionnaire - Ages 6-12 Years Old English.docx	Form and Instruction
Form M-12A-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12A-UF UC Questionnaire - Ages 6-12 Years Old English.docx	Form and Instruction
Form M-12As-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12As-UF UC Questionnaire - Ages 6-12 Years Old Spanish.docx	Form and Instruction
Form M-12As-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12As-UF UC Questionnaire - Ages 6-12 Years Old Spanish.docx	Form and Instruction
Form M-12B-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12B-UF UC Questionnaire - Ages 13 and Older English.docx	Form and Instruction
Form M-12B-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12B-UF UC Questionnaire - Ages 13 and Older English.docx	Form and Instruction
Form M-12Bs-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12Bs-UF UC Questionnaire - Ages 13 and Older Spanish.docx	Form and Instruction
Form M-12Bs-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12Bs-UF UC Questionnaire - Ages 13 and Older Spanish.docx	Form and Instruction
Form M-12E-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12E-UF UC Questionnaire - Ages 5 and Under - English.docx	Form and Instruction
Form M-12E-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12E-UF UC Questionnaire - Ages 5 and Under - English.docx	Form and Instruction
Form M-12Es-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12Es-UF UC Questionnaire - Ages 5 and Under Spanish.docx	Form and Instruction
Form M-12Es-UF Unlicensed Facility Unaccompanied Child Questionnaire - M-12Es-UF UC Questionnaire - Ages 5 and Under Spanish.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form M-12A-UF	Yes	Yes	Fillable Fileable
Form and Instruction	Form M-12As-UF	Yes	Yes	Fillable Fileable
Form and Instruction	Form M-12B-UF	Yes	Yes	Fillable Fileable
Form and Instruction	Form M-12Bs-UF	Yes	Yes	Fillable Fileable
Form and Instruction	Form M-12E-UF	Yes	Yes	Fillable Fileable
Form and Instruction	Form M-12Es-UF	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: ORR Unaccompanied Refugee Minors Records

FR Citation: 81 FR 46682

Number of Respondents: 1,120

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: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,120	1,120
Annual IC Time Burden (Hours)	560	560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].