Appendix A - NonSub Change - Form P10

Appendix A - P-10 Transfer Request Revisions.xlsx

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

Appendix A - NonSub Change - Form P10

OMB: 0970-0554

Document [xlsx]
Download: xlsx | pdf

Overview

Transfer Request
Placement Confirmation


Sheet 1: Transfer Request

Section Field Modifications Notes
Minor's Profile


Minor's Profile Height (ft & inches) Removed Unnecessary
Minor's Profile Eye Color Removed Unnecessary
Minor's Profile Weight (lbs) Removed Unnecessary
Minor's Profile Identification Marks Removed Unnecessary
Request Details
Reworded Original Wording: "Transfer Request"
Request Details Requested Program Type Reworded Original Wording: "Type of Program Requested"

Shelter No Change

Long Term Foster Care No Change

Transitional Foster Care No Change

Staff Secure No Change

Secure No Change

Residential Treatment Center No Change

Therapeutic Staff Secure No Change

Therapeutic Group Home Added Added so dropdown options reflect all current program types; option already present in UC Path version of this form

Group Home No Change

Influx Care Facility Added Added so dropdown options reflect all current program types; option already present in UC Path version of this form
Request Details Requesting Party Removed Redundant; Already captured in Requester Name and Requester Title fields
Request Details Requester Name No Change
Request Details Requester Title No Change
Request Details Requester Phone No Change
Reason for Transfer Request
No Change
Reason for Transfer Request Transfer Type Reorganized Reorganized checkboxes around restriction level and program-type related reasons into a transfer type dropdown

Step Up Reorganized and reworded Moved from Any Program Type field; Original Wording: "To provide a less restrictive setting (transfer only)

Step Down Reorganized and reworded Moved from Any Program Type field; Original Wording: "To provide a more restrictive setting (transfer only)

Lateral Reorganized and reworded Moved from Shelter & Foster Care Only field; Original Wording: "Standard Placement"

Influx Reorganized Moved from Any Program Type field

Virtual Added Added so dropdown options reflect all current transfer types
Reason for Transfer Request To Any Program Type Reworded Original Wording: "Any Program Type:"

To Provide Less Restrictive Setting Reworded Original Wording: "To Provide Less Restrictive Setting (transfer only)"

To Provide More Restrictive Setting Reworded Original Wording: "To Provide More Restrictive Setting (transfer only)"

Minor's Medical Health No Change

Minor's Mental Health No Change

Violent/Threatening Behavior No Change

Disruptive Behavior No Change

Minor's Safety No Change

Runaway Risk Reworded Original Wording: "Flight Risk"
Reason for Transfer Request To Restrictive Placements Reworded Original Wording: "Secure & Staff Secure Only"

Convicted as Adult No Change

Adjudicated Delinquent No Change

Criminal Charges No Change

Chargeable No Change
Reason for Transfer Request Between Programs Added Subcategory to organize reasons unrelated to step ups or step downs; Will ensure that between this field, To Any Program Type and To Restrictive Placements, all reasons a transfer may occur are represented

Program Capacity Added

Proximity to UC Relative


Proximity to Potential Sponsor Added

ICF Ineligible Added

Physical Placement in Program Added
Legal Information
Reorganized Moved legal information fields currently in Reason for Transfer Request section into their own section

Minor Has Attorney of Record? Added Added to faciliate progressive disclose; Other fields in this section only appear if "yes" is selected for this field
Legal Information Attorney of Record Reorganized Moved from Reason for Transfer Request section
Legal Information Attorney Phone Reorganized Moved from Reason for Transfer Request section
Casefile Summaries


Casefile Summaries Information Relating to Casefile No Change

Pregnancy No Change

Injury No Change

Illness No Change

Non-Diagnosed Behavior / Illness w/o Medications Reorganized Turned into a subcategory for "Illness"

Non-Diagnosed Behavior / Illness w/ Medications Reorganized Turned into a subcategory for "Illness"

Diagnosed Behavior / Illness w/o Medications Reorganized Turned into a subcategory for "Illness"

Diagnosed Behavior / Ilness w/ Medications Reorganized Turned into a subcategory for "Illness"

Non-Violent Conviction No Change

Non-Violent Charge No Change

Charge(s) Dropped No Change
Casefile Summaries Minor’s Medical Health Summary Reorganized Original Wording: "Minor’s Medical and Mental Health Summary"; split into two separate textboxes
Casefile Summaries Minor’s Mental Health Summary Reorganized Original Wording: "Minor’s Medical and Mental Health Summary"; split into two separate textboxes
Casefile Summaries Behavior Summary (Runaway Risk, Aggressive/Assaultive and Sexually Inappropriate Behaviors) Reworded Original Wording: "Behavior Summary (Flight Risk, Aggressive/Assaultive and Sexually Inappropriate Behaviors)"
Casefile Summaries Current Status of Family Reunification No Change
Casefile Summaries Immigration Court Status No Change
Case Manager Recommendation
Reworded Original Wording: "Case Manager Transfer Comments and Recommendation"
Case Manager Recommendation Case Manager Name No Change
Case Manager Recommendation Date of Case Manager Comments No Change
Case Manager Recommendation Case Manager Comments Reworded Original Wording: "Case Manager Transfer Comments and Recommendation"
Case Manager Recommendation Case Manager Suggests Transfer? No Change
Case Coordinator Third Party Review
Reworded Original Wording: "Case Coordination"
Case Coordinator Third Party Review Case Coordinator Name No Change
Case Coordinator Third Party Review Date of Case Coordinator Review Reworded Original Wording: "Recommended Date"
Case Coordinator Third Party Review Case Coordinator Comments Reworded Original Wording: "Comments"
Case Coordinator Third Party Review Concur with Requesting Party? No Change
Case Coordinator Third Party Review Type of Program Recommended Removed Redundent; Info already captured in Request Details section
ORR Transfer Request Decision
Reworded Original Wording: "ORR/DCS Decision"
ORR Transfer Request Decision ORR Decision Maker Name Reworded Original Wording: "Name of ORR Decision Maker"
ORR Transfer Request Decision Date of ORR Decision Reworded Original Wording: "Date of Decision"
ORR Transfer Request Decision ORR Decision Maker Comments Reworded Original Wording: "Comments"
ORR Transfer Request Decision ORR Decision Reworded Original Wording: "Decision"

Pending Removed Option no longer needed

Approve No Change

Disapprove No Change

On Hold (Provide Detail in Comments) Reworded Original Wording: "Remand (Provide Detail in Comments)"
Cancel
Added Only appears when user click the "Cancel" button
Cancel Select Cancellation Reason Added Only appears when user click the "Cancel" button

Reunited with Sponsor Added Only appears when user click the "Cancel" button

Level of Care No Longer Applicable Added Only appears when user click the "Cancel" button

Created by Mistake Added Only appears when user click the "Cancel" button

Sheet 2: Placement Confirmation

Section Field Modifications Notes
Request Details
Duplicated Data will be entered in Transfer Request and auto-populates here
Request Details Requested Program Type Duplicated Data will be entered in Transfer Request and auto-populates here
Request Details Requester Name Duplicated Data will be entered in Transfer Request and auto-populates here
Request Details Requester Title Duplicated Data will be entered in Transfer Request and auto-populates here
Request Details Requester Phone Duplicated Data will be entered in Transfer Request and auto-populates here
Placement Details
Reorganized New section containing a field located in another section of UC Portal version and fields from UC Path version
Placement Details Receiving Program Reorganized and reworded Original Wording: "Case Coordinator Proposed Program"; Moved from Tranfer Request (Case Coordination section)
Placement Details Date Placement Accepted Reorganized and reworded Original Wording: "Transfer Designation Date"; Taken from UC Path version of Transfer Request (Transfer Designation section)
Placement Details Receiving Program POC Name Reorganized Taken from UC Path version of Transfer Request (Related tab, Entry Team section); The receiving program POC (usually program support staff) would have been entered here
Placement Details Receiving Program POC Phone Reorganized Taken from UC Path version of Transfer Request (Related tab, Entry Team section); The receiving program POC (usually program support staff) would have been entered here; Phone would have been auto-populated in UC Path but user will need to manually enter here
ORR Placement Confirmation Decision
Duplicated Original Wording: "ORR/DCS Decision"; ORR/DCS Decision section of Tranfer Request currently used to make two decisions: 1) whether a transfer is warranted, and 2) where the child should be placed. Splitting the Tranfer Request into two forms means this section needs to be present in both forms to document these two decisions.
ORR Placement Confirmation Decision ORR Decision Maker Name Duplicated
ORR Placement Confirmation Decision Date of ORR Decision Duplicated
ORR Placement Confirmation Decision ORR Decision Maker Comments Duplicated
ORR Placement Confirmation Decision ORR Decision Duplicated

Approve Duplicated

Disapprove Duplicated

On Hold (Provide Detail in Comments) Duplicated
COA-COV
Reorganized Section moved from Tranfer Request into this form
COA-COV Change Type Reorganized and reworded Original Wording: "Request Type"; Moved from Tranfer Request

Change of Address Reorganized

Change of Venue Reorganized
COA-COV Scheduled Transfer Date Reorganized and reworded Original Wording: "Transfer Sch. To Take Place on"; Moved from Tranfer Request
COA-COV Minor's Attorney Contacted Reorganized and reworded Original Wording: "Has the Minor's Attorney of Record Been Contacted?"; Moved from Transfer Request (Reason for Tranfer Request section)
COA-COV Next Scheduled Court Appearance Reorganized and reworded Original Wording: "Next Sch. Court Appearance"; Moved from Tranfer Request
COA-COV Provide reason if there is less than 48 hours notice to ICE: Reorganized and reworded Original Wording: "Reason for less than 48 hours notice to ICE (if applicable)"; Moved from Tranfer Request
COA-COV Good cause exists to change venue in this matter pursuant to 8 C.F.R & 1003.20 (b) for the following reasons: Reorganized Moved from Tranfer Request

ORR has decided to relocate the respondent to an area where space is available or appropriate services can be provided, since juvenile detention space is limited. Reorganized and reworded Original Wording: "ORR has decided to relocate the respondent to an area where space is available/ appropriate services can be provided, since Juvenile detention space is limited in"; Moved from Tranfer Request

The child has a special need (e.g. pregnancy, medical health, etc.) please specify: Reorganized and reworded Original Wording: "The minor has a special need (e.g. pregnancy of juvenile, medical needs, etc.) please specify:";Moved from Tranfer Request

Other, please specify: Reorganized Moved from Tranfer Request
Departure/Arrival Information
Reorganized Section moved from Tranfer Request into this form
Departure/Arrival Information Departure Date Reorganized Moved from Tranfer Request
Departure/Arrival Information Departure Time Reorganized Moved from Tranfer Request
Departure/Arrival Information Transporting Staff Name Reorganized Moved from Tranfer Request
Departure/Arrival Information Transporting Staff Title Reorganized Moved from Tranfer Request
Departure/Arrival Information Transporting Staff Comments Reorganized Moved from Tranfer Request
Departure/Arrival Information Arrival Date Reorganized Moved from Tranfer Request
Departure/Arrival Information Arrival Time Reorganized Moved from Tranfer Request
Departure/Arrival Information Receiving Staff Name Reorganized Moved from Tranfer Request
Departure/Arrival Information Receiving Staff Title Reorganized Moved from Tranfer Request
Departure/Arrival Information Receiving Staff Comments Reorganized Moved from Tranfer Request
Cancel
Added Only appears when user click the "Cancel" button
Cancel Reason for Cancellation Added Only appears when user click the "Cancel" button

Reunited with Sponsor Added Only appears when user click the "Cancel" button

Level of Care No Longer Applicable Added Only appears when user click the "Cancel" button

Created by Mistake Added Only appears when user click the "Cancel" button
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