Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Authorization for Medical, Dental, and Mental Health Care (Form P-2) Modified 60048 5004 0 Form and Instruction P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Modified 2160 540 0 Form and Instruction P-8 Care Provider Checklist for Transfers to Influx Care Facilities
Family Group Entity (Form P-15) New 3008 251 0 Form and Instruction P-15 Family Group Entity
Influx Transfer Manifest (Form P-16) New 36 12 0 Form and Instruction P-16 Influx Transfer Manifest
Influx Transfer Manual and Prescreen Criteria Review (Form P-17) New 9359928 4679964 0 Form and Instruction P-17 Influx Transfer Manual and Prescreen Criteria Review
Influx Transfer Request (Form P-10B) New 13608 5670 0 Form and Instruction P-10B Influx Transfer Request
Long Term Foster Care Placement Memo (Form P-5) Modified 90 23 0 Form and Instruction P-5 Long Term Foster Care Placement Memo
Medical Checklist for Influx Transfers (Form P-9B) Modified 13608 2268 0 Form and Instruction P-9B Medical Checklist for Influx Transfers
Medical Checklist for Transfers (Form P-9A) Modified 5832 486 0 Form and Instruction P-9A Medical Checklist for Transfers
Notice of Placement in a Restrictive Setting (Form P-4/4s) Modified 510 170 0 Form and Instruction P-4 Notice of Placement in a Restrictive Setting (English)
Form and Instruction P-4s Notice of Placement in a Restrictive Setting (Spanish)
Form and Instruction P-4d Notice of Placement in a Restrictive Setting (Dari)
Form and Instruction P-4p Notice of Placement in a Restrictive Setting (Pashto)
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Modified 7992 1332 0 Form and Instruction P-14 ORR Transfer Notification - UC Path Version
Placement Authorization (Form P-1) Modified 60048 5004 0 Form and Instruction P-1 Placement Authorization - UC Path Version
Program Entity (Form P-12) Modified 2592 1296 0 Form and Instruction P-12 Program Entity - UC Path
Form and Instruction P-12 UC Portal Capacity Report (Form P-12) - UC Portal
Transfer Request (Form P-10A) – Contractor Case Coordinator New 9250 3083 0 Form and Instruction P-10A Transfer Request - UC Path Version
Form and Instruction P-10A Transfer Request - UC PortalVersion
Transfer Request (Form P-10A) – Grantee Case Manager Modified 7992 3330 0 Form and Instruction P-10A Transfer Request - UC Path Version
Form and Instruction P-10A Transfer Request - UC Portal Version
Transfer Summary and Tracking (Form P-11) Modified 7992 1332 0 Form and Instruction P-11 Transfer Summary and Tracking - UC Path Version
UC Profile (Form P-13) Modified 52056 39042 0 Form and Instruction P-13 UC Profile - UC Portal
Form and Instruction P-13 Add New UC (Form P-13) - UC Path
UC Referral (Form P-7) Modified 52080 52080 0 Form and Instruction P-7 UC Referral
Form and Instruction P-7 Intakes Placement Checklist - PDF
Total burden requested under this ICR: 9658830 4800887 0  
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