Information Collection Request

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

ICR 202210-0970-008 · OMB 0970-0554 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0554 can be found here:

Forms and Documents

Document Name	Status
Form P-18 Notice of Administrative Review (Form P-18/18s/18d/18p) Form	New
Form P-17 Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Form and Instruction	Unchanged
Form P-16 Influx Transfer Manifest (Form P-16) Form and Instruction	Unchanged
Form P-15 Family Group Entity (Form P-15) Form and Instruction	Unchanged
Form P-10B Influx Transfer Request (Form P-10B) Form and Instruction	Unchanged
Form P-10A Transfer Request (Form P-10A) – Contractor Case Coordinator Form and Instruction	Unchanged
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	Unchanged
Form P-13 UC Profile (Form P-13) Form and Instruction	Unchanged
Form P-12 Program Entity (Form P-12) Form and Instruction	Unchanged
Form P-11 Transfer Summary and Tracking (Form P-11) Form and Instruction	Unchanged
Form P-10A Transfer Request (Form P-10A) – Grantee Case Manager Form and Instruction	Unchanged
Form P-9B Medical Checklist for Influx Transfers (Form P-9B) Form and Instruction	Unchanged
Form P-9A Medical Checklist for Transfers (Form P-9A) Form and Instruction	Unchanged
Form P-8 Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Form and Instruction	Unchanged
Form P-7 UC Referral (Form P-7) Form and Instruction	Unchanged
Form P-5 Long Term Foster Care Placement Memo (Form P-5) Form and Instruction	Unchanged
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4/4s/4d/4p) Form and Instruction	Modified
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction	Unchanged
Form P-1 Placement Authorization (Form P-1) Form and Instruction	Unchanged
Emergency SSA_0970-0554_Placement and Transfer_003_2022 10 21 CLEAN.docx Supporting Statement A	2022-10-21

IC Document Collections

IC ID	Document Title	Status
256558	Notice of Administrative Review (Form P-18/18s/18d/18p) Form	New
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	Influx Transfer Request (Form P-10B) Form and Instruction	Unchanged
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 UC and Request to Change Address/Venue (Form P-14) Form and Instruction	Unchanged
242798	UC Profile (Form P-13) Form and Instruction	Unchanged
242797	Program Entity (Form P-12) 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	UC Referral (Form P-7) Form and Instruction	Unchanged
242790	Long Term Foster Care Placement Memo (Form P-5) Form and Instruction	Unchanged
242789	Notice of Placement in a Restrictive Setting (Form P-4/4s/4d/4p) Form and Instruction	Modified
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

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0554
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202209-0970-018
Agency Tracking No	ORR
Date Submitted to OIRA	2022-10-27
Requested Expiration Date	2022-10-27