Information Collection Request

Placement and Transfer of Unaccompanied [Alien] Children into ORR Care Provider Facilities

ICR 202509-0970-005 · OMB 0970-0554 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form P-12B Bed Assignment Capacity Overview Module Form and Instruction Modified Repair queued
Form P-12B Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction Modified Repair queued
Form P-12A Bed Configuration Module Form and Instruction Modified Available
Form P-12A Bed Configuration Module (Form P-12A) Form and Instruction Modified Repair queued
Form P-10B Placement Confirmation Form and Instruction Modified Available
Form P-10B Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction Modified Repair queued
Form P-18p Notice of Administrative Review - Pashto Form Unchanged Repair queued
Form P-18d Notice of Administrative Review - Dari Form Unchanged Repair queued
Form P-18s Notice of Administrative Review - Spanish Form Unchanged Repair queued
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 Modified Available
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction Modified Repair queued
Form P-16 Influx Transfer Manifest Form and Instruction Modified Available
Form P-16 Influx Transfer Manifest (Form P-16) Form and Instruction Modified Repair queued
Form P-15 Family Group Entity Form and Instruction Modified Repair queued
Form P-15 Family Group Entity (Form P-15) Form and Instruction Modified Available
Form P-10B Placement Confirmation Form and Instruction Modified Available
Form P-10B Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction Modified Repair queued
Form P-10A Transfer Request Form and Instruction Modified Repair queued
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction Modified Repair queued
Form P-14 ORR Transfer Notification - UC Path Version Form and Instruction Modified Repair queued
Form P-14 ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Form and Instruction Modified Repair queued
Form P-13 Add New UC (Form P-13) - UC Path Form and Instruction Modified Repair queued
Form P-13 UC Profile - UC Portal Form and Instruction Modified Repair queued
Form P-13 Unaccompanied Child Profile (Form P-13) Form and Instruction Modified Repair queued
Form P-12 UC Portal Capacity Report (Form P-12) - UC Portal Form and Instruction Modified Repair queued
Form P-12C Program Entity Form and Instruction Modified Repair queued
Form P-12C Program Entity (Form P-12C) Form and Instruction Modified Repair queued
Form P-11 Transfer Summary and Tracking - UC Path Version Form and Instruction Modified Available
Form P-11 Transfer Summary and Tracking (Form P-11) Form and Instruction Modified Repair queued
Form P-10A Transfer Request Form and Instruction Modified Repair queued
Form P-10A Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction Modified Repair queued
Form P-9B Medical Checklist for Influx Transfers Form and Instruction Modified Repair queued
Form P-9B Medical Checklist for Transfers to Influx Care Facilities (Form P-9B) Form and Instruction Modified Repair queued
Form P-9A Medical Checklist for Transfers Form and Instruction Modified Repair queued
Form P-9A Medical Checklist for Non-Influx Transfers (Form P-9A) Form and Instruction Modified Repair queued
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities Form and Instruction Modified Available
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction Modified Repair queued
Form P-7 Unaccompanied [Alien] Child Referral (aka Intakes Restrictive Placement Checklist) Form and Instruction Modified Repair queued
Form P-7 UC Referral Form and Instruction Modified Available
Form P-7 Unaccompanied Child Referral (aka Intakes Restrictive Placement Checklist) (Form P-7) Form and Instruction Modified Repair queued
Form P-5 Long Term Foster Care Placement Memo Form and Instruction Modified Available
Form P-5 Long Term Foster Care Placement Memo (Form P-5) Form and Instruction Modified Repair queued
Form Form P-4 Notice of Placement in a Restrictive Setting Form and Instruction Modified Available
Form Form P-4 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction Modified Repair queued
Form P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version Form and Instruction Modified Available
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction Modified Repair queued
Form P-1 Placement Authorization - UC Path Version Form and Instruction Modified Repair queued
Form P-1 Placement Authorization (Form P-1) Form and Instruction Modified Repair queued
Emergency SSA Attachment A_0970-0554_Placement and Transfer_2025 09 25.docx Supplementary Document Uploaded 2025-09-25 Repair queued
Emergency SSA Attachment A_0970-0554_Placement and Transfer_2025 09 25.docx Supplementary Document Uploaded 2025-09-25 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_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_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 Available
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
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
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 Attachment A_0970-0554_Placement and Transfer_003_2023 04 24.docx Supplementary Document Uploaded 2023-04-25 Repair queued
Emergency SSA_0970-0554_Placement and Transfer_011_2025 09 25 CLEAN.docx Supporting Statement A Uploaded 2025-09-25 Available
Emergency SSA_0970-0554_Placement and Transfer_011_2025 09 25 CLEAN.docx Supporting Statement A Uploaded 2025-09-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
261944 Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction ModifiedBed Assignment Capacity Overview Module
261944 Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction Modified
261943 Bed Configuration Module (Form P-12A) Form and Instruction ModifiedBed Configuration Module
261943 Bed Configuration Module (Form P-12A) Form and Instruction Modified
261526 Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction ModifiedPlacement Confirmation
261526 Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction Modified
256558 Notice of Administrative Review (Form P-18) Form UnchangedNotice of Administrative Review - Pashto
256558 Notice of Administrative Review (Form P-18) Form UnchangedNotice of Administrative Review - Dari
256558 Notice of Administrative Review (Form P-18) Form UnchangedNotice of Administrative Review - Spanish
256558 Notice of Administrative Review (Form P-18) Form UnchangedNotice 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 ModifiedInflux Transfer Manual and Prescreen Criteria Review
249643 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction Modified
249642 Influx Transfer Manifest (Form P-16) Form and Instruction ModifiedInflux Transfer Manifest
249642 Influx Transfer Manifest (Form P-16) Form and Instruction Modified
249641 Family Group Entity (Form P-15) Form and Instruction ModifiedFamily Group Entity
249641 Family Group Entity (Form P-15) Form and Instruction Modified
249640 Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction ModifiedPlacement Confirmation
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 ModifiedTransfer Request
249639 Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction Modified
242799 ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Form and Instruction ModifiedORR Transfer Notification - UC Path Version
242799 ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Form and Instruction Modified
242798 Unaccompanied Child Profile (Form P-13) Form and Instruction ModifiedAdd New UC (Form P-13) - UC Path
242798 Unaccompanied Child Profile (Form P-13) Form and Instruction ModifiedUC Profile - UC Portal
242798 Unaccompanied Child Profile (Form P-13) Form and Instruction Modified
242797 Program Entity (Form P-12C) Form and Instruction ModifiedUC Portal Capacity Report (Form P-12) - UC Portal
242797 Program Entity (Form P-12C) Form and Instruction ModifiedProgram Entity
242797 Program Entity (Form P-12C) Form and Instruction Modified
242796 Transfer Summary and Tracking (Form P-11) Form and Instruction ModifiedTransfer Summary and Tracking - UC Path Version
242796 Transfer Summary and Tracking (Form P-11) Form and Instruction Modified
242795 Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction ModifiedTransfer Request
242795 Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction Modified
242794 Medical Checklist for Transfers to Influx Care Facilities (Form P-9B) Form and Instruction ModifiedMedical Checklist for Influx Transfers
242794 Medical Checklist for Transfers to Influx Care Facilities (Form P-9B) Form and Instruction Modified
242793 Medical Checklist for Non-Influx Transfers (Form P-9A) Form and Instruction ModifiedMedical Checklist for Transfers
242793 Medical Checklist for Non-Influx Transfers (Form P-9A) Form and Instruction Modified
242792 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction ModifiedCare Provider Checklist for Transfers to Influx Care Facilities
242792 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction Modified
242791 Unaccompanied Child Referral (aka Intakes Restrictive Placement Checklist) (Form P-7) Form and Instruction ModifiedUnaccompanied [Alien] Child Referral (aka Intakes Restrictive Placement Checklist)
242791 Unaccompanied Child Referral (aka Intakes Restrictive Placement Checklist) (Form P-7) Form and Instruction ModifiedUC Referral
242791 Unaccompanied Child Referral (aka Intakes Restrictive Placement Checklist) (Form P-7) Form and Instruction Modified
242790 Long Term Foster Care Placement Memo (Form P-5) Form and Instruction ModifiedLong Term Foster Care Placement Memo
242790 Long Term 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 ModifiedNotice of Placement in a Restrictive Setting
242789 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction Modified
242788 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction ModifiedAuthorization 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 Modified
242787 Placement Authorization (Form P-1) Form and Instruction ModifiedPlacement Authorization - UC Path Version
242787 Placement Authorization (Form P-1) Form and Instruction Modified
ICR Details
0970-0554 202509-0970-005
Historical Active 202407-0970-012
HHS/ACF ORR
Placement and Transfer of Unaccompanied [Alien] Children into ORR Care Provider Facilities
Revision of a currently approved collection   No
Emergency 09/26/2025
Approved without change 09/26/2025
Retrieve Notice of Action (NOA) 09/25/2025
OMB is approving this Emergency ICR with the understanding that within 6 months from the approval date, ACF will complete a 60d and 30d public comment request to support the approval of the ICR ahead of the expiration date.
  Inventory as of this Action Requested Previously Approved
02/28/2026 6 Months From Approved 06/30/2026
12,003,289 0 15,574,965
5,950,965 0 7,659,395
0 0 0

The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau provides care and custody for unaccompanied alien children until they can be safely released to a sponsor, repatriated to their home country, or obtain legal status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody. Generally, care provider facilities are State licensed (with the exception of those located in states unwilling to license them and temporary influx care facilities) and must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management. ORR uses several forms directly related to the care of unaccompanied alien children. The forms in this information collection allow ORR to place unaccompanied alien children referred to ORR by federal agencies into care provider facilities and to transfer children within the ORR care provider network. ACF is requesting emergency review and approval by OMB to update two forms approved under this information collection, as authorized under 5 CFR 1320.13.  ACF is requesting approval as soon as possible due to secure beds becoming available on September 15, 2025 and requests 180 days of approval, during which time a full revision request will be submitted under normal procedures under the Paperwork Reduction Act. The information collection is essential to the mission of the agency, the use of normal clearance procedures is reasonably likely to prevent or disrupt the collection of information, and public harm is reasonably likely to result if normal clearance procedures are followed. For additional information see Attachment A.
ACF is requesting emergency review and approval by OMB to update two forms approved under the Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities information collection (OMB #0970-0554), as authorized under 5 CFR 1320.13.  ACF is requesting approval as soon as possible due to secure beds becoming available on September 15, 2025 and requests 180 days of approval, during which time a full revision request will be submitted under normal procedures under the Paperwork Reduction Act. The information collection is essential to the mission of the agency, the use of normal clearance procedures is reasonably likely to prevent or disrupt the collection of information, and public harm is reasonably likely to result if normal clearance procedures are followed. For additional information see Attachment A.

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
  
None

Not associated with rulemaking

No

22
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
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
Long Term Foster Care Placement Memo (Form P-5) P-5 Long Term Foster Care Placement Memo
Medical Checklist for Non-Influx Transfers (Form P-9A) P-9A Medical Checklist for Transfers
Medical Checklist for Transfers to Influx Care Facilities (Form P-9B) P-9B Medical Checklist for Influx 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) Form P-4 Notice of Placement in a Restrictive Setting
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC 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 (aka Intakes Restrictive Placement Checklist) (Form P-7) P-7, P-7 UC Referral ,   Unaccompanied [Alien] Child Referral (aka Intakes Restrictive Placement Checklist)

  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 12,003,289 15,574,965 0 -3,571,676 0 0
Annual Time Burden (Hours) 5,950,965 7,659,395 0 -1,708,430 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
ORR is proposing changes to the Notice of Placement in a Restrictive Setting (Form P-4) and Unaccompanied Child Referral (aka Intakes Placement Checklist) (Form P-7). The proposed changes are related to current administration priorities, to align the placement criteria in forms with the criteria found in 45 CFR 410.1105 and UAC Policy Guide Sections 1.2.4 and 1.4.6 and to meet requirements in the Lucas R. Disabilities Settlement Agreement (Case No. 2:18-CV-05741 DMG PLA), and Flores litigation (Case No. CV85-4544-RJK (C.D. Cal. 1996)). Details about changes can be found in SSA section A15. ORR updated the burden hours for all forms to reflect a decrease in the number of children referred to ORR and a decrease in the number of care provider facilities. ORR also updated the estimated costs for all forms to reflect more recent wage data from the Bureau of Labor Statistics. Finally, ORR updated the average burden hours per response for the Notice of Placement in a Restrictive Setting (Form P-4) from 0.33 hours to 0.5 hours.

$8,916,556
No
    Yes
    No
No
No
No
No
Molly Buck 202 205-4724 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/25/2025