Form P-12 Program Entity

Program Entity (Form P-12)
Data Entry Window
OMB 0970-0554 [valid through MM/DD/YYYY]

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection
is to allow ORR to track certain information related to its care provider programs, such as location, contact information, bed capacity,
state licensure, grant information, monitoring, and program census. Public reporting burden for this collection of information is estimated
to average 0.5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and
reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information please contact UACPolicy@acf.hhs.gov.
UAC-P-12 [Rev. MM/DD/YYYY]

Program Entity Page – Details Tab

OMB 0970-0554 [valid through MM/DD/YYYY]
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR to track certain information related to its care provider programs, such
as location, contact information, bed capacity, state licensure, grant information, monitoring, and program census. Public reporting burden for this collection of information is estimated to average 0.5 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information please contact UACPolicy@acf.hhs.gov.
UAC-P-12 [Rev. MM/DD/YYYY]

Program Entity Page – Capacity Tab

OMB 0970-0554 [valid through MM/DD/YYYY]
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR to track certain information related to its care provider programs, such
as location, contact information, bed capacity, state licensure, grant information, monitoring, and program census. Public reporting burden for this collection of information is estimated to average 0.5 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information please contact UACPolicy@acf.hhs.gov.
UAC-P-12 [Rev. MM/DD/YYYY]

Program Entity Page – Census Page

OMB 0970-0554 [valid through MM/DD/YYYY]
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR to track certain information related to its care provider programs, such
as location, contact information, bed capacity, state licensure, grant information, monitoring, and program census. Public reporting burden for this collection of information is estimated to average 0.5 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information please contact UACPolicy@acf.hhs.gov.
UAC-P-12 [Rev. MM/DD/YYYY]

Program Entity Page – Related Tab

OMB 0970-0554 [valid through MM/DD/YYYY]
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR to track certain information related to its care provider programs, such
as location, contact information, bed capacity, state licensure, grant information, monitoring, and program census. Public reporting burden for this collection of information is estimated to average 0.5 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information please contact UACPolicy@acf.hhs.gov.
UAC-P-12 [Rev. MM/DD/YYYY]

Funded Capacity Manager

Entity Team Data Entry Window

Information Data Entry Window

Beds Data Entry Window

Program Entity Page – Events/SIRs Tab

OMB 0970-0554 [valid through MM/DD/YYYY]
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR to track certain information related to its care provider programs, such
as location, contact information, bed capacity, state licensure, grant information, monitoring, and program census. Public reporting burden for this collection of information is estimated to average 0.5 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control
number. If you have any comments on this collection of information please contact UACPolicy@acf.hhs.gov.
UAC-P-12 [Rev. MM/DD/YYYY]