Information Collection

Bed Assignment and Capacity Overview Module (Form P-12B)

IC 261944 under ICR 202308-0970-009 · OMB 0970-0554.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form P-12B Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction
P-12B Bed Assignment Capacity Overview Module P-12B Bed Assignment Capacity Overview Module.pdf Form and Instruction
P-12B Bed Assignment Capacity Overview Module P-12B Bed Assignment Capacity Overview Module.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Bed Assignment and Capacity Overview Module (Form P-12B)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	P-12B	Bed Assignment Capacity Overview Module	P-12B Bed Assignment Capacity Overview Module.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 09-80-0321 ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 262	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	122,616	122,616
Annual IC Time Burden (Hours)	20,864	20,864
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.