Information Collection Request

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

ICR 202403-0970-017 · OMB 0970-0554 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form P-12B Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction Unchanged Repair queued
Form P-12A Bed Configuration Module (Form P-12A) Form and Instruction Unchanged Repair queued
Form P-10B Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction Modified Repair queued
Form P-18 Notice of Administrative Review (Form P-18) Form Unchanged Repair queued
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction Unchanged Repair queued
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 Modified 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 Available
Form P-12C Program Entity (Form P-12C) Form and Instruction Unchanged 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 Available
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 Repair queued
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction Unchanged Repair queued
Form P-7 Unaccompanied Child Referral (Form P-7) Form and Instruction Unchanged Repair queued
Form P-5 Foster Care Placement Memo (Form P-5) Form and Instruction Unchanged Available
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction Unchanged Available
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction Unchanged Available
Form P-1 Placement Authorization (Form P-1) Form and Instruction Unchanged Repair queued
Nonsub Memo_0970-0554_Placement and Transfer_008_2024 03 26.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-03-27 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 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
IC IDCollectionTypeStatusForm
261944 Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction Unchanged
261943 Bed Configuration Module (Form P-12A) Form and Instruction Unchanged
261526 Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction Modified
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 Modified
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 Unchanged
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
StatusActive
Agency/SubagencyHHS/ACF
OMB Control No0970-0554
Type of Information CollectionNo material or nonsubstantive change to a currently approved collection
Previous ICR Reference No202308-0970-009
Agency Tracking NoORR
Date Submitted to OIRA2024-03-27
Requested Expiration Date1969-12-31