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) Unchanged 60048 5004 0 Form and Instruction P-2
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Unchanged 2160 540 0 Form and Instruction P-8
Family Group Entity (Form P-15) Unchanged 3008 251 0 Form and Instruction P-15
Influx Transfer Manifest (Form P-16) Unchanged 36 12 0 Form and Instruction P-16
Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Unchanged 9359928 4679964 0 Form and Instruction P-17
Influx Transfer Request (Form P-10B) Unchanged 13608 5670 0 Form and Instruction P-10B
Long Term Foster Care Placement Memo (Form P-5) Unchanged 90 23 0 Form and Instruction P-5
Medical Checklist for Influx Transfers (Form P-9B) Unchanged 13608 2268 0 Form and Instruction P-9B
Medical Checklist for Transfers (Form P-9A) Unchanged 5832 486 0 Form and Instruction P-9A
Notice of Placement in a Restrictive Setting (Form P-4/4s) Unchanged 510 170 0 Form and Instruction P-4
Form and Instruction P-4s
Form and Instruction P-4d
Form and Instruction P-4p
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Unchanged 7992 1332 0 Form and Instruction P-14
Placement Authorization (Form P-1) Unchanged 60048 5004 0 Form and Instruction P-1
Program Entity (Form P-12) Unchanged 2592 1296 0 Form and Instruction P-12
Form and Instruction P-12
Transfer Request (Form P-10A) – Contractor Case Coordinator Unchanged 9250 3083 0 Form and Instruction P-10A
Form and Instruction P-10A
Transfer Request (Form P-10A) – Grantee Case Manager Unchanged 7992 3330 0 Form and Instruction P-10A
Form and Instruction P-10A
Transfer Summary and Tracking (Form P-11) Unchanged 7992 1332 0 Form and Instruction P-11
UC Profile (Form P-13) Unchanged 52056 39042 0 Form and Instruction P-13
Form and Instruction P-13
UC Referral (Form P-7) Modified 52080 52080 0 Form and Instruction P-7
Form and Instruction P-7
Total burden requested under this ICR: 9658830 4800887 0  
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