Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

OMB 0970-0554

ORR’s Unaccompanied Alien Children (UAC) Program provides care and custody for UAC 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 UAC in ORR custody. Care provider facilities are State licensed, with the exception of 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 is submitting several instruments directly related to the care of UAC for processing pursuant to the Paperwork Reduction Act. These instruments allow ORR to place UAC referred to ORR by Federal agencies into care provider facilities and to transfer UAC within the ORR care provider network. The proposed instruments are: • Placement Authorization (Form P-1) • Authorization for Medical, Dental, and Mental Health Care (Form P-2) • Notice of Placement in a Restrictive Setting (Form P-4/4s) • Long Term Foster Care Placement Memo (Form P-5) • Intakes Placement Checklist (Form P-7) • Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) • Medical Checklist for Transfers (Form P-9A) • Medical Checklist for Influx Transfers (Form P-9B) • Transfer Request (Form P-10) • Transfer Request and Tracking Form (Form P-11) • UAC Portal Capacity Report (Form P-12) • Add New UAC (Form P-13) • Notice of Transfer to Immigration and Customs Enforcement’s (ICE) Chief Counsel – Change of Address/Change of Venue (Form P-14)

The latest form for Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form P-12B Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction
Form P-12A Bed Configuration Module (Form P-12A) Form and Instruction
Form P-10B Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction
Form P-18 Notice of Administrative Review (Form P-18) Form
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction
Form P-16 Influx Transfer Manifest (Form P-16) Form and Instruction
Form P-15 Family Group Entity (Form P-15) Form and Instruction
Form P-10B Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction
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
Form P-13 Unaccompanied Child Profile (Form P-13) Form and Instruction
Form P-12C Program Entity (Form P-12C) Form and Instruction
Form P-11 Transfer Summary and Tracking (Form P-11) Form and Instruction
Form P-10A Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction
Form P-9B Medical Checklist for Influx Transfers (Form P-9B) Form and Instruction
Form P-9A Medical Checklist for Transfers (Form P-9A) Form and Instruction
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction
Form P-7 Unaccompanied Child Referral (Form P-7) Form and Instruction
Form P-5 Foster Care Placement Memo (Form P-5) Form and Instruction
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction
Form P-1 Placement Authorization (Form P-1) Form and Instruction
Nonsub Memo_0970-0554_Placement and Transfer_008_2024 03 26.docx Justification for No Material/Nonsubstantive Change
Nonsub Memo_0970-0554_Placement and Transfer_007 _2023 08 30.docx Justification for No Material/Nonsubstantive Change
Appendix A - P-10 Transfer Request Revisions.xlsx Supplementary Document
Nonsub Memo_0970-0554_Placement and Transfer_004 _2023 08 08.docx Justification for No Material/Nonsubstantive Change
Extension SSA Attachment A_0970-0554_Placement and Transfer_003_2023 04 24.docx Supplementary Document
Extension SSA_0970-0554_Placement and Transfer_007_2023 08 30 CLEAN v3.docx Supporting Statement A
Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction
Bed Configuration Module (Form P-12A) Form and Instruction
Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction
Notice of Administrative Review (Form P-18) Form
Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction
Influx Transfer Manifest (Form P-16) Form and Instruction
Family Group Entity (Form P-15) Form and Instruction
Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction
Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction
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
Unaccompanied Child Profile (Form P-13) Form and Instruction
Program Entity (Form P-12C) Form and Instruction
Transfer Summary and Tracking (Form P-11) Form and Instruction
Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction
Medical Checklist for Influx Transfers (Form P-9B) Form and Instruction
Medical Checklist for Transfers (Form P-9A) Form and Instruction
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction
Unaccompanied Child Referral (Form P-7) Form and Instruction
Foster Care Placement Memo (Form P-5) Form and Instruction
Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction
Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction
Placement Authorization (Form P-1) Form and Instruction

All Historical Document Collections

202403-0970-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-03-27
202308-0970-009 Approved with change	No material or nonsubstantive change to a currently approved collection	2023-08-30
202308-0970-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-08-10
202304-0970-009 Approved without change	Revision of a currently approved collection	2023-04-28
202212-0970-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-12-21
202210-0970-008 Approved without change	Revision of a currently approved collection	2022-10-27
202209-0970-018 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-09-27
202110-0970-001 Approved with change	Revision of a currently approved collection	2021-10-12
202012-0970-010	Extension without change of a currently approved collection	2020-12-18
202007-0970-016 Approved without change	New collection (Request for a new OMB Control Number)	2020-07-27

OMB Details

Placement Authorization (Form P-1)

Federal Enterprise Architecture: Community and Social Services - Social Services

Form P-1

Placement Authorization

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.