P-12 UC Portal Capacity Report (Form P-12) - UC Portal

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

UC Portal Capacity Report (Form P-12) - UC Portal

Program Entity (Form P-12)

OMB: 0970-0554

Document [pdf]
Download: pdf | pdf
OMB 0970-0554 [Valid through 02/28/2021]

Master In Care and Capacity Report
Facility Info
Facility Name

Type

Funded Capacity
Male Female Total

Enroute

In-Transfer

Male Female Male

In Care

Female Male

Female Total

Beds in Reserve
Male

Female Total

Beds Unavailable
Male

Female Total

Reconcile

Verified

Comments
Special Instructions

Confirmed By

Date/Time

State Name

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 notify stakeholders of the transfer of a UAC to another care provider
facility or the release of a UAC from ORR custody. Public reporting burden for this collection of information is estimated to average 0.08 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.

Master In Care and Capacity Report
Facility Info
Facility Name

Type

Funded Capacity
Male Female Total

Enroute

In-Transfer

Male Female Male

In Care

Female Male

Female Total

Beds in Reserve
Male

Female Total

Beds Unavailable
Male

Female Total

Reconcile

Verified

Comments
Special Instructions

Confirmed By

Date/Time

Capacity Summary
Type
Funded Capacity
In Care
Enroute
In Reserve
Unavailable Funded

Shelter

Transitional Foster Care

Residential Treatment

Staff Secure

Therapeutic Staff Secure

Secure

DFFC

TGH

Total

%

Master In Care and Capacity Report
Facility Info
Facility Name

Type

Funded Capacity
Male Female Total

Enroute

In-Transfer

Male Female Male

In Care

Female Male

Beds in Reserve

Female Total

Male

Female Total

Beds Unavailable
Male

Female Total

Reconcile

Verified

Summary of DCS Capacity
Current Available Capacity: 00.00 % (0,000 in Reserve)
Availibility by Region

Availability by Types of Care

Western Region

Residential Treatment

Central Region

Secure

Eastern Region

Shelter

Total

Staff Secure
TFC
TGH
Therapeutic Staff Secure
Transitional Foster Care

Comments
Special Instructions

Confirmed By

Date/Time


File Typeapplication/pdf
File Modified2020-12-16
File Created2020-05-08

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