Secure Client Questionnaire (Form M-12D) - Respondents

Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities

Documents and Forms

Document Name Document Type
Form Form M-12D Secure Client Questionnaire (Form M-12D) - Respondents Form and Instruction
Form Form M-12D Secure Client Questionnaire (Form M-12D) - Respondents Form and Instruction
Form M-12D Secure Client Questionnaire Secure UC Questionnaire (Form M-12D).docx Form and Instruction
Form M-12D Secure Client Questionnaire Secure UC Questionnaire (Form M-12D).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Secure Client Questionnaire (Form M-12D) - Respondents	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	Form M-12D	Secure Client Questionnaire	Secure UC Questionnaire (Form M-12D).docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: ORR Unaccompanied Refugee Minors Records	FR Citation: 81 FR 46682

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	3	3
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.