Form P-7 UC Referral

UAC Referral (Form P-7)
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 receive a referral from a Federal agency and place the UAC in an ORR care provider facility. Public reporting burden for this collection of
information is estimated to average 1.0 hour (plus an additional 0.5 hours for UAC who may require placement in a restrictive setting) 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-7 [Rev. MM/DD/YYYY]

UAC Referral 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 receive a referral from a Federal agency and place the UAC in an ORR care provider
facility. Public reporting burden for this collection of information is estimated to average 1.0 hour (plus an additional 0.5 hours for UAC who may require placement in a restrictive setting) 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-7 [Rev. MM/DD/YYYY]

Criminal Charges Data Entry Window

Detention Facilities Data Entry Window

Documents Data Entry Window

Entry Team Data Entry Window

Intakes Placement Checklist 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 receive
a referral from a Federal agency and place the UAC in an ORR care provider facility. Public reporting burden for this collection of information is estimated to
average 1.0 hour (plus an additional 0.5 hours for UAC who may require placement in a restrictive setting) 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-7 [Rev. MM/DD/YYYY]

UAC Referral – Initial Health Information 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 receive
a referral from a Federal agency and place the UAC in an ORR care provider facility. Public reporting burden for this collection of information is estimated to
average 1.0 hour (plus an additional 0.5 hours for UAC who may require placement in a restrictive setting) 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-7 [Rev. MM/DD/YYYY]

Intakes Placement Checklist – System-Generated PDF