Information Collection Request

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

ICR 202403-0970-017 · 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⚠️ Notice: This information collection may be outdated.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-12B Bed Assignment and Capacity Overview Module (Form P-12B) Form and Instruction	Unchanged
Form P-12A Bed Configuration Module (Form P-12A) Form and Instruction	Unchanged
Form P-10B Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction	Modified
Form P-18 Notice of Administrative Review (Form P-18) Form	Unchanged
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 Placement Confirmation (Form P-10B) – Grantee Case Manager Form and Instruction	Modified
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 Unaccompanied Child and Request to Change Address/Venue (Form P-14) Form and Instruction	Unchanged
Form P-13 Unaccompanied Child Profile (Form P-13) Form and Instruction	Unchanged
Form P-12C Program Entity (Form P-12C) 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 Unaccompanied Child Referral (Form P-7) Form and Instruction	Unchanged
Form P-5 Foster Care Placement Memo (Form P-5) Form and Instruction	Unchanged
Form P-4 Notice of Placement in a Restrictive Setting (Form P-4) Form and Instruction	Unchanged
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
Nonsub Memo_0970-0554_Placement and Transfer_008_2024 03 26.docx Justification for No Material/Nonsubstantive Change	2024-03-27
Nonsub Memo_0970-0554_Placement and Transfer_007 _2023 08 30.docx Justification for No Material/Nonsubstantive Change	2023-08-30
Appendix A - P-10 Transfer Request Revisions.xlsx Supplementary Document	2023-08-09
Nonsub Memo_0970-0554_Placement and Transfer_004 _2023 08 08.docx Justification for No Material/Nonsubstantive Change	2023-08-09
Extension SSA Attachment A_0970-0554_Placement and Transfer_003_2023 04 24.docx Supplementary Document	2023-04-25
Extension SSA_0970-0554_Placement and Transfer_007_2023 08 30 CLEAN v3.docx Supporting Statement A	2023-08-30

IC Document Collections

IC ID	Document Title	Status
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
261526	Placement Confirmation (Form P-10B) – Contractor Case Coordinator Form and Instruction	Modified
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
249642	Influx Transfer Manifest (Form P-16) Form and Instruction	Unchanged
249641	Family Group Entity (Form P-15) Form and Instruction	Unchanged
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	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
242798	Unaccompanied Child Profile (Form P-13) Form and Instruction	Unchanged
242797	Program Entity (Form P-12C) 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	Unaccompanied Child Referral (Form P-7) Form and Instruction	Unchanged
242790	Foster Care Placement Memo (Form P-5) Form and Instruction	Unchanged
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
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	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202308-0970-009
Agency Tracking No	ORR
Date Submitted to OIRA	2024-03-27
Requested Expiration Date	1969-12-31