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-12B Bed Assignment and Capacity Overview Module (Form P-12B)	Form and Instruction	Unchanged	Repair queued
Form P-12A Bed Configuration Module	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 and Instruction	Unchanged	Repair queued
Form P-10B Placement Confirmation (Form P-10B) – Contractor Case Coordinator	Form and Instruction	Unchanged	Repair queued
Form P-18p Notice of Administrative Review - Pashto	Form	Unchanged	Repair queued
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-18 Notice of Administrative Review (Form P-18)	Form	Unchanged	Repair queued
Form P-17 Influx Transfer Manual and Prescreen Criteria Review	Form and Instruction	Unchanged	Available
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 and Instruction	Unchanged	Available
Form P-16 Influx Transfer Manifest (Form P-16)	Form and Instruction	Unchanged	Repair queued
Form P-15 Family Group Entity	Form and Instruction	Unchanged	Available
Form P-15 Family Group Entity (Form P-15)	Form and Instruction	Unchanged	Repair queued
Form P-10B Placement Confirmation	Form and Instruction	Unchanged	Available
Form P-10B Placement Confirmation (Form P-10B) – Grantee Case Manager	Form and Instruction	Unchanged	Repair queued
Form P-10A Transfer Request	Form and Instruction	Unchanged	Available
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	Unchanged	Repair queued
Form P-14 ORR Transfer Notification - UC Path Version	Form and Instruction	Unchanged	Available
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 Add New UC (Form P-13) - UC Path	Form and Instruction	Unchanged	Available
Form P-13 UC Profile - UC Portal	Form and Instruction	Unchanged	Repair queued
Form P-13 Unaccompanied Child Profile (Form P-13)	Form and Instruction	Unchanged	Repair queued
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-12C Program Entity (Form P-12C)	Form and Instruction	Unchanged	Repair queued
Form P-11 Transfer Summary and Tracking - UC Path Version	Form and Instruction	Unchanged	Available
Form P-11 Transfer Summary and Tracking (Form P-11)	Form and Instruction	Unchanged	Available
Form P-10A Transfer Request	Form and Instruction	Unchanged	Available
Form P-10A Transfer Request (Form P-10A) – Grantee Case Manager	Form and Instruction	Unchanged	Repair queued
Form P-9B Medical Checklist for Influx Transfers	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 and Instruction	Unchanged	Available
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 and Instruction	Unchanged	Available
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8)	Form and Instruction	Unchanged	Repair queued
Form P-7 Intakes Placement Checklist - PDF	Form and Instruction	Unchanged	Repair queued
Form P-7 UC Referral	Form and Instruction	Unchanged	Available
Form P-7 Unaccompanied Child Referral (Form P-7)	Form and Instruction	Unchanged	Repair queued
Form P-5 Long Term Foster Care Placement Memo	Form and Instruction	Modified	Available
Form P-5 Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified	Repair queued
Form P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto)	Form and Instruction	Unchanged	Available
Form P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari)	Form and Instruction	Unchanged	Repair queued
Form P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish)	Form and Instruction	Unchanged	Available
Form P-4 Notice of Placement in a Restrictive Setting (English)	Form and Instruction	Unchanged	Available
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4)	Form and Instruction	Unchanged	Repair queued
Form P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version	Form and Instruction	Unchanged	Available
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2)	Form and Instruction	Unchanged	Repair queued
Form P-1 Placement Authorization - UC Path Version	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_009.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-07-30	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	Repair queued
Nonsub Memo_0970-0554_Placement and Transfer_004 _2023 08 08.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-09	Repair queued
Extension SSA Attachment A_0970-0554_Placement and Transfer_003_2023 04 24.docx	Supplementary Document	Uploaded 2023-04-25	Repair queued
Extension SSA_0970-0554_Placement and Transfer_007_2023 08 30 CLEAN v3.docx	Supporting Statement A	Uploaded 2023-08-30	Repair queued

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
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	Bed Configuration Module
261943	Bed Configuration Module (Form P-12A)	Form and Instruction	Unchanged
261526	Placement Confirmation (Form P-10B) – Contractor Case Coordinator	Form and Instruction	Unchanged	Placement Confirmation
261526	Placement Confirmation (Form P-10B) – Contractor Case Coordinator	Form and Instruction	Unchanged
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
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	Influx Transfer Manual and Prescreen Criteria Review
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	Influx Transfer Manifest
249642	Influx Transfer Manifest (Form P-16)	Form and Instruction	Unchanged
249641	Family Group Entity (Form P-15)	Form and Instruction	Unchanged	Family Group Entity
249641	Family Group Entity (Form P-15)	Form and Instruction	Unchanged
249640	Placement Confirmation (Form P-10B) – Grantee Case Manager	Form and Instruction	Unchanged	Placement Confirmation
249640	Placement Confirmation (Form P-10B) – Grantee Case Manager	Form and Instruction	Unchanged
249639	Transfer Request (Form P-10A) – Contractor Case Coordinator	Form and Instruction	Unchanged	Transfer Request
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	ORR Transfer Notification - UC Path Version
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	Add New UC (Form P-13) - UC Path
242798	Unaccompanied Child Profile (Form P-13)	Form and Instruction	Unchanged	UC Profile - UC Portal
242798	Unaccompanied Child Profile (Form P-13)	Form and Instruction	Unchanged
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
242797	Program Entity (Form P-12C)	Form and Instruction	Unchanged
242796	Transfer Summary and Tracking (Form P-11)	Form and Instruction	Unchanged	Transfer Summary and Tracking - UC Path Version
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	Transfer Request
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	Medical Checklist for Influx Transfers
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	Medical Checklist for Transfers
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	Care Provider Checklist for Transfers to Influx Care Facilities
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	Intakes Placement Checklist - PDF
242791	Unaccompanied Child Referral (Form P-7)	Form and Instruction	Unchanged	UC Referral
242791	Unaccompanied Child Referral (Form P-7)	Form and Instruction	Unchanged
242790	Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified	Long Term Foster Care Placement Memo
242790	Foster Care Placement Memo (Form P-5)	Form and Instruction	Modified
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)
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	Authorization for Medical, Dental, and Mental Health Care - UC Path Version
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	Placement Authorization - UC Path Version
242787	Placement Authorization (Form P-1)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0554	ICR Reference No: 202407-0970-012
Status: Historical Active	Previous ICR Reference No: 202403-0970-017
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: 08/01/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/31/2024
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 Foster Care Placement Memo (Form P-5). Care providers use the Foster Care Placement Memo (Form P-5) to ensure placement in a foster home that meets the child’s needs and continuity of services. See UC Policy Guide Section 1.2.6 ORR Long Term Foster Care for related policies. ORR has not yet been able to start using the currently approved version of Form P-5 due to an implementation delay of related foster care policy. The form contains elements related to the foster care policy revisions that are currently deliberative. ORR considered issuing a separate set of instructions to ignore elements of the form that cannot yet be implemented, but ultimately determined that this would be confusing for users. Instead, ORR is proposing revisions to Form P-5 that will remove elements specifically related to the as-of-yet unpublished policy guidance. ORR is also proposing additional revisions, unrelated to the unpublished policy guidance, that will improve the instrument’s clarity and effectiveness to better serve its purpose within the agency. Once the new policy is ready for publication, ORR will submit a non-substantive request to reverse the currently requested revisions that are related to the policy. This process will ensure that the necessary adjustments are made in a timely manner to align with the updated policy guidance.

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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: 07/31/2024

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