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Notice of Placement in a Restrictive Setting (Form P-4)
Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities
OMB: 0970-0554
IC ID: 242789
OMB.report
HHS/ACF
OMB 0970-0554
ICR 202407-0970-012
IC 242789
( )
Documents and Forms
Document Name
Document Type
Form P-4
Notice of Placement in a Restrictive Setting (Form P-4)
Form and Instruction
P-4 Notice of Placement in a Restrictive Setting (English)
Notice of Placement in a Restrictive Setting (Form P-4) English.pdf
Form and Instruction
P-4 Notice of Placement in a Restrictive Setting (English)
Notice of Placement in a Restrictive Setting (Form P-4) English.pdf
Form and Instruction
P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish)
TR109_P-4 (ESP) Notice of Placement in a Restrictive Setting_v6_Spanish_DRAFT.docx
Form and Instruction
P-4 (ESP) Notice of Placement in a Restrictive Setting (Spanish)
TR109_P-4 (ESP) Notice of Placement in a Restrictive Setting_v6_Spanish_DRAFT.docx
Form and Instruction
P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari)
TR109_P-4 (PRS) Notice of Placement in a Restrictive Setting_v6_Dari Persian_DRAFT.docx
Form and Instruction
P-4 (PRS) Notice of Placement in a Restrictive Setting (Dari)
TR109_P-4 (PRS) Notice of Placement in a Restrictive Setting_v6_Dari Persian_DRAFT.docx
Form and Instruction
P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto)
TR109_P-4 (PUS) Notice of Placement in a Restrictive Setting_v6_Pashto_DRAFT.docx
Form and Instruction
P-4 (PUS) Notice of Placement in a Restrictive Setting (Pashto)
TR109_P-4 (PUS) Notice of Placement in a Restrictive Setting_v6_Pashto_DRAFT.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice of Placement in a Restrictive Setting (Form P-4)
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-4
Notice of Placement in a Restrictive Setting (English)
Notice of Placement in a Restrictive Setting (Form P-4) English.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
P-4 (ESP)
Notice of Placement in a Restrictive Setting (Spanish)
TR109_P-4 (ESP) Notice of Placement in a Restrictive Setting_v6_Spanish_DRAFT.docx
Yes
Yes
Fillable Fileable
Form and Instruction
P-4 (PRS)
Notice of Placement in a Restrictive Setting (Dari)
TR109_P-4 (PRS) Notice of Placement in a Restrictive Setting_v6_Dari Persian_DRAFT.docx
Yes
Yes
Fillable Fileable
Form and Instruction
P-4 (PUS)
Notice of Placement in a Restrictive Setting (Pashto)
TR109_P-4 (PUS) Notice of Placement in a Restrictive Setting_v6_Pashto_DRAFT.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
15
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:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,710
0
0
0
0
1,710
Annual IC Time Burden (Hours)
564
0
0
0
0
564
Annual IC Cost Burden (Dollars)
0
0
0
0
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.