Authorization for Medical, Dental, and Mental Health Care (Form P-2)

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0554 can be found here:

Documents and Forms

Document Name Document Type
Form P-2 Authorization for Medical, Dental, and Mental Health Care (Form P-2) Form and Instruction
P-2 Authorization for Medical, Dental, and Mental Health Car Authorization for Medical, Dental, and Mental Health Care (Form P-2) - UC Path.pdf Form and Instruction
P-2 Authorization for Medical, Dental, and Mental Health Car Authorization for Medical, Dental, and Mental Health Care (Form P-2) - UC Path.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Authorization for Medical, Dental, and Mental Health Care (Form P-2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	P-2	Authorization for Medical, Dental, and Mental Health Care - UC Path Version	Authorization for Medical, Dental, and Mental Health Care (Form P-2) - UC Path.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: 09-80-0321 ORR Division of Children's Services Records	FR Citation: 81 FR 46682

Number of Respondents: 262	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	140,432	140,432
Annual IC Time Burden (Hours)	11,235	11,235
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.