Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form P-12B Bed Assignment Capacity Overview Module	Form and Instruction	Unchanged	Available
Form P-12A Bed Configuration Module	Form and Instruction	Unchanged	Repair queued
Form P-10B Placement Confirmation	Form and Instruction	Modified	Available
Form P-18p Notice of Administrative Review - Pashto	Form	Unchanged	Available
Form P-18d Notice of Administrative Review - Dari	Form	Unchanged	Available
Form P-18s Notice of Administrative Review - Spanish	Form	Unchanged	Available
Form P-18 Notice of Administrative Review	Form	Unchanged	Available
Form P-17 Influx Transfer Manual and Prescreen Criteria Review	Form and Instruction	Unchanged	Available
Form P-16 Influx Transfer Manifest	Form and Instruction	Unchanged	Available
Form P-15 Family Group Entity	Form and Instruction	Unchanged	Available
Form P-10B Placement Confirmation	Form and Instruction	Modified	Available
Form P-10A Transfer Request	Form and Instruction	Unchanged	Available
Form P-14 ORR Transfer Notification - UC Path Version	Form and Instruction	Unchanged	Available
Form P-13 Add New UC (Form P-13) - UC Path	Form and Instruction	Unchanged	Available
Form P-13 UC Profile - UC Portal	Form and Instruction	Unchanged	Available
Form P-12 UC Portal Capacity Report (Form P-12) - UC Portal	Form and Instruction	Unchanged	Available
Form P-12C Program Entity	Form and Instruction	Unchanged	Available
Form P-11 Transfer Summary and Tracking - UC Path Version	Form and Instruction	Unchanged	Available
Form P-10A Transfer Request	Form and Instruction	Unchanged	Available
Form P-9B Medical Checklist for Influx Transfers	Form and Instruction	Unchanged	Available
Form P-9A Medical Checklist for Transfers	Form and Instruction	Unchanged	Available
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities	Form and Instruction	Unchanged	Available
Form P-7 Intakes Placement Checklist - PDF	Form and Instruction	Unchanged	Available
Form P-7 UC Referral	Form and Instruction	Unchanged	Available
Form P-5 Long Term Foster Care Placement Memo	Form and Instruction	Unchanged	Available
Form P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto)	Form and Instruction	Unchanged	Repair queued
Form P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari)	Form and Instruction	Unchanged	Available
Form P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish)	Form and Instruction	Unchanged	Repair queued
Form P-4 Notice of Placement in a Restrictive Setting (English)	Form and Instruction	Unchanged	Available
Form P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version	Form and Instruction	Unchanged	Available
Form P-1 Placement Authorization - UC Path Version	Form and Instruction	Unchanged	Available
Nonsub Memo_0970-0554_Placement and Transfer_008_2024 03 26.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-03-27	Available
Nonsub Memo_0970-0554_Placement and Transfer_007 _2023 08 30.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-30	Available
Appendix A - P-10 Transfer Request Revisions.xlsx	Supplementary Document	Uploaded 2023-08-09	Available
Nonsub Memo_0970-0554_Placement and Transfer_004 _2023 08 08.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-09	Available
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	Available

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 0970-0554	ICR Reference No: 202403-0970-017
Status: Historical Active	Previous ICR Reference No: 202308-0970-009
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR
Title: Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/27/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/27/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	06/30/2026	06/30/2026
Responses	15,574,965	0	15,574,965
Time Burden (Hours)	7,659,395	0	7,659,395
Cost Burden (Dollars)	0	0	0

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Abstract: The Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities information collection contains 20 instruments that allow ORR to place unaccompanied children referred to ORR by federal agencies into care provider facilities and to transfer children within the ORR care provider network as required by the Homeland Security Act (6 U.S.C. 279) and the Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232). ORR is proposing revisions to one form in this collection, the Placement Confirmation (Form P-10B). The Placement Confirmation form contains a COA/COV (Change of Address/Change of Venue) section that is completed by care provider case managers for children transferring to another care provider program. In addition to completing this section of the form, case managers also file a change of address with the Executive Office for Immigration Review to ensure that the court is aware of the child’s current location during the pendency of their immigration proceedings. However, case managers do not file changes of venue. This function is performed by an entity that is party to the proceedings, typically the child’s legal representative or Immigration and Customs Enforcement, because the decision to file a change of venue may affect the child’s immigration case. A change of venue is filed for cases where a Notice to Appear has been filed. To avoid potential confusion about who is responsible for filing changes of venue, ORR proposes removing all fields related to changes of venue from the Placement Confirmation form.

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Authorizing Statute(s): US Code: 8 USC 1232 Name of Law: Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)
   US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
   PL: Pub.L. 113 - 4 1101(c) Name of Law: Violence Against Women Reauthorization Act of 2013
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 78973	12/23/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 26314	04/28/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 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

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	15,574,965	0	0	0	0
Annual Time Burden (Hours)	7,659,395	7,659,395	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $12,098,199

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/27/2024

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