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pdfInflux Transfer Manifest (Form P-16)
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 plan, track, and notify stakeholders of group transfers to an influx care facility. Public reporting burden for this collection of
information is estimated to average 0.33 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-16 [Rev. MM/DD/YYYY]
Influx Transfer Manifest Page – Detail 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 plan, track, and notify stakeholders of group transfers to an influx care facility.
Public reporting burden for this collection of information is estimated to average 0.33 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-16 [Rev. MM/DD/YYYY]
Influx Transfer Manifest 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 plan, track, and notify stakeholders of group transfers to an influx care facility.
Public reporting burden for this collection of information is estimated to average 0.33 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-16 [Rev. MM/DD/YYYY]
Entry Team Data Entry Window
Files Data Entry Window
Influx Transfer Manifest Page – Chatter 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 plan, track, and notify stakeholders of group transfers to an influx care facility.
Public reporting burden for this collection of information is estimated to average 0.33 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-16 [Rev. MM/DD/YYYY]
Generated Manifest
File Type | application/pdf |
Author | DPP-SH |
File Modified | 2020-12-23 |
File Created | 2020-12-23 |