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
Bed Assignment and Capacity Overview Module (Form P-12B) Modified 95700 16269 0 Form and Instruction P-12B
Bed Configuration Module (Form P-12A) Modified 2640 449 0 Form and Instruction P-12A
Care Provider Checklist for Transfers to Influx Care Facilities (Form P-8) Unchanged 440 110 0 Form and Instruction P-8
Family Group Entity (Form P-15) Unchanged 3000 240 0 Form and Instruction P-15
Influx Transfer Manifest (Form P-16) Modified 36 12 0 Form and Instruction P-16
Influx Transfer Manual and Prescreen Criteria Review (Form P-17) Modified 11491040 5745520 0 Form and Instruction P-17
Long Term Foster Care Placement Memo (Form P-5) Unchanged 805 201 0 Form and Instruction P-5
Medical Checklist for Non-Influx Transfers (Form P-9A) Unchanged 1760 141 0 Form and Instruction P-9A
Medical Checklist for Transfers to Influx Care Facilities (Form P-9B) Unchanged 1100 187 0 Form and Instruction P-9B
Notice of Administrative Review (Form P-18) Removed 0 0 0 Form P-18
Form P-18s
Form P-18d
Form P-18p
Notice of Placement in a Restrictive Setting (Form P-4) Modified 498 249 0 Form and Instruction Form P-4
ORR Transfer Notification - ORR Notification to ICE Chief Counsel of Transfer of UC and Request to Change Address/Venue (Form P-14) Unchanged 2420 411 0 Form and Instruction P-14
Placement Authorization (Form P-1) Unchanged 98120 7850 0 Form and Instruction P-1
Placement Confirmation (Form P-10B) – Contractor Case Coordinator Modified 3025 514 0 Form and Instruction P-10B
Placement Confirmation (Form P-10B) – Grantee Case Manager Modified 2420 411 0 Form and Instruction P-10B
Program Entity (Form P-12C) Unchanged 2640 1320 0 Form and Instruction P-12C
Form and Instruction P-12
Transfer Request (Form P-10A) – Contractor Case Coordinator Modified 3025 514 0 Form and Instruction P-10A
Transfer Request (Form P-10A) – Grantee Case Manager Modified 2420 605 0 Form and Instruction P-10A
Transfer Summary and Tracking (Form P-11) Modified 2420 411 0 Form and Instruction P-11
Unaccompanied [Alien] Child Profile (Form P-13) Modified 95700 71775 0 Form and Instruction P-13
Form and Instruction P-13
Unaccompanied [Alien] Child Referral (aka Intakes Restrictive Placement Checklist) (Form P-7) Modified 95760 95760 0 Form and Instruction P-7
Form and Instruction P-7
Total burden requested under this ICR: 12003089 5950799 0  
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