Form P-10B Influx Transfer Request

Influx Transfer Request (Form P-10B)
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 process recommendations and decisions for transfer of a UAC to an influx care facility. Public reporting burden for this
collection of information is estimated to average 0.42 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-10B [Rev. MM/DD/YYYY]

Influx Transfer Request Page – Details Tab

[PHOTO]

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 process recommendations and decisions for transfer of a UAC to an
influx care facility. Public reporting burden for this collection of information is estimated to average 0.42 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-10B [Rev. MM/DD/YYYY]

Influx Transfer Request 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 process recommendations and decisions for transfer of a UAC to an
influx care facility. Public reporting burden for this collection of information is estimated to average 0.42 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-10B [Rev. MM/DD/YYYY]

Entry Team Data Entry Window

Documents Data Entry Window

Influx Transfer Request – Program Referrals 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 process recommendations and decisions for transfer of a UAC to an
influx care facility. Public reporting burden for this collection of information is estimated to average 0.42 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-10B [Rev. MM/DD/YYYY]