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 98120 7850 0 Form and Instruction P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version
Bed Assignment and Capacity Overview Module (Form P-12B) Modified 95700 16269 0 Form and Instruction P-12B Bed Assignment Capacity Overview Module
Bed Configuration Module (Form P-12A) Modified 2640 449 0 Form and Instruction P-12A Bed Configuration Module
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Modified 440 110 0 Form and Instruction P-8 Care Provider Checklist for Transfers to Influx Care Facilities
Family Group Entity (Form P-15) Modified 3000 240 0 Form and Instruction P-15 Family Group Entity
Influx Transfer Manifest (Form P-16) Modified 36 12 0 Form and Instruction P-16 Influx Transfer Manifest
Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Modified 11491040 5745520 0 Form and Instruction P-17 Influx Transfer Manual and Prescreen Criteria Review
Long Term Foster Care Placement Memo (Form P-5) Modified 805 201 0 Form and Instruction P-5 Long Term Foster Care Placement Memo
Medical Checklist for Non-Influx Transfers (Form P-9A) Modified 1760 141 0 Form and Instruction P-9A Medical Checklist for Transfers
Medical Checklist for Transfers to Influx Care Facilities (Form P-9B) Modified 1100 187 0 Form and Instruction P-9B Medical Checklist for Influx 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) Modified 498 249 0 Form and Instruction Form P-4 Notice of Placement in a Restrictive Setting
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Modified 2420 411 0 Form and Instruction P-14 ORR Transfer Notification - UC Path Version
Placement Authorization (Form P-1) Modified 98120 7850 0 Form and Instruction P-1 Placement Authorization - UC Path Version
Placement Confirmation (Form P-10B) – Contractor Case Coordinator Modified 3025 514 0 Form and Instruction P-10B Placement Confirmation
Placement Confirmation (Form P-10B) – Grantee Case Manager Modified 2420 411 0 Form and Instruction P-10B Placement Confirmation
Program Entity (Form P-12C) Modified 2640 1320 0 Form and Instruction P-12C Program Entity
Form and Instruction P-12 UC Portal Capacity Report (Form P-12) - UC Portal
Transfer Request (Form P-10A) – Contractor Case Coordinator Modified 3025 514 0 Form and Instruction P-10A Transfer Request
Transfer Request (Form P-10A) – Grantee Case Manager Modified 2420 605 0 Form and Instruction P-10A Transfer Request
Transfer Summary and Tracking (Form P-11) Modified 2420 411 0 Form and Instruction P-11 Transfer Summary and Tracking - UC Path Version
Unaccompanied Child Profile (Form P-13) Modified 95700 71775 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 (aka Intakes Restrictive Placement Checklist) (Form P-7) Modified 95760 95760 0 Form and Instruction P-7 UC Referral
Form and Instruction P-7 Unaccompanied [Alien] Child Referral (aka Intakes Restrictive Placement Checklist)
Total burden requested under this ICR: 12003289 5950965 0  
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