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
Bed Assignment and Capacity Overview Module (Form P-12B) New 122616 20864 0 Form and Instruction P-12B
Bed Configuration Module (Form P-12A) New 3144 534 0 Form and Instruction P-12A
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Unchanged 4978 1245 0 Form and Instruction P-8
Family Group Entity (Form P-15) Unchanged 3000 240 0 Form and Instruction P-15
Foster Care Placement Memo (Form P-5) Unchanged 37070 9268 0 Form and Instruction P-5
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 14727806 7363903 0 Form and Instruction P-17
Medical Checklist for Influx Transfers (Form P-9B) Unchanged 25152 4276 0 Form and Instruction P-9B
Medical Checklist for Transfers (Form P-9A) Unchanged 12838 1027 0 Form and Instruction P-9A
Notice of Administrative Review (Form P-18) Unchanged 200 166 0 Form P-18
Form P-18s
Form P-18d
Form P-18p
Notice of Placement in a Restrictive Setting (Form P-4) Unchanged 1710 564 0 Form and Instruction P-4
Form and Instruction P-4 (ESP)
Form and Instruction P-4 (PRS)
Form and Instruction P-4 (PUS)
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
Placement Authorization (Form P-1) Unchanged 140432 11235 0 Form and Instruction P-1
Placement Confirmation (Form P-10B) – Contractor Case Coordinator Unchanged 18425 3132 0 Form and Instruction P-10B
Placement Confirmation (Form P-10B) – Grantee Case Manager Unchanged 17554 2984 0 Form and Instruction P-10B
Program Entity (Form P-12C) Modified 3144 534 0 Form and Instruction P-12C
Form and Instruction P-12
Transfer Request (Form P-10A) – Contractor Case Coordinator Unchanged 18425 3132 0 Form and Instruction P-10A
Transfer Request (Form P-10A) – Grantee Case Manager Unchanged 17554 4389 0 Form and Instruction P-10A
Transfer Summary and Tracking (Form P-11) Unchanged 17554 2984 0 Form and Instruction P-11
Unaccompanied Child Profile (Form P-13) Unchanged 122616 91962 0 Form and Instruction P-13
Form and Instruction P-13
Unaccompanied Child Referral (Form P-7) Unchanged 122725 122725 0 Form and Instruction P-7
Form and Instruction P-7
Total burden requested under this ICR: 15574965 7659395 0  
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