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 140432 11235 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) Unchanged 4978 1245 0 Form and Instruction P-8 Care Provider Checklist for Transfers to Influx Care Facilities
Family Group Entity (Form P-15) Unchanged 3000 240 0 Form and Instruction P-15 Family Group Entity
Foster Care Placement Memo (Form P-5) Unchanged 37070 9268 0 Form and Instruction P-5 Long Term Foster Care Placement Memo
Influx Transfer Manifest (Form P-16) Unchanged 36 12 0 Form and Instruction P-16 Influx Transfer Manifest
Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Unchanged 14727806 7363903 0 Form and Instruction P-17 Influx Transfer Manual and Prescreen Criteria Review
Medical Checklist for Influx Transfers (Form P-9B) Unchanged 25152 4276 0 Form and Instruction P-9B Medical Checklist for Influx Transfers
Medical Checklist for Transfers (Form P-9A) Unchanged 12838 1027 0 Form and Instruction P-9A Medical Checklist for Transfers
Notice of Administrative Review (Form P-18) Unchanged 200 166 0 Form P-18 Notice of Administrative Review
Form P-18s Notice of Administrative Review - Spanish
Form P-18d Notice of Administrative Review - Dari
Form P-18p Notice of Administrative Review - Pashto
Notice of Placement in a Restrictive Setting (Form P-4) Unchanged 1710 564 0 Form and Instruction P-4 Notice of Placement in a Restrictive Setting (English)
Form and Instruction P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish)
Form and Instruction P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari)
Form and Instruction P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto)
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of Unaccompanied Child and Request to Change Address/Venue (Form P-14) Unchanged 17554 2984 0 Form and Instruction P-14 ORR Transfer Notification - UC Path Version
Placement Authorization (Form P-1) Unchanged 140432 11235 0 Form and Instruction P-1 Placement Authorization - UC Path Version
Placement Confirmation (Form P-10B) – Contractor Case Coordinator New 18425 3132 0 Form and Instruction P-10B Placement Confirmation
Placement Confirmation (Form P-10B) – Grantee Case Manager Modified 17554 2984 0 Form and Instruction P-10B Placement Confirmation
Program Entity (Form P-12) Unchanged 3144 1572 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 Modified 18425 3132 0 Form and Instruction P-10A Transfer Request
Transfer Request (Form P-10A) – Grantee Case Manager Modified 17554 4389 0 Form and Instruction P-10A Transfer Request
Transfer Summary and Tracking (Form P-11) Unchanged 17554 2984 0 Form and Instruction P-11 Transfer Summary and Tracking - UC Path Version
Unaccompanied Child Profile (Form P-13) Unchanged 122616 91962 0 Form and Instruction P-13 UC Profile - UC Portal
Form and Instruction P-13 Add New UC (Form P-13) - UC Path
Unaccompanied Child Referral (Form P-7) Unchanged 122725 122725 0 Form and Instruction P-7 UC Referral
Form and Instruction P-7 Intakes Placement Checklist - PDF
Total burden requested under this ICR: 15449205 7639035 0  
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