Medical Checklist for Transfers (Form P-9A)

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

Documents and Forms

Document Name Document Type
Form P-9A Medical Checklist for Transfers (Form P-9A) Form and Instruction
P-9A Medical Checklist for Transfers Medical Checklist for Non-Influx Transfers (Form P-9A) - UC Path.pdf Form and Instruction
P-9A Medical Checklist for Transfers Medical Checklist for Non-Influx Transfers (Form P-9A) - UC Path.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Medical Checklist for Transfers (Form P-9A)	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-9A	Medical Checklist for Transfers	Medical Checklist for Non-Influx Transfers (Form P-9A) - 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	12,838	12,838
Annual IC Time Burden (Hours)	1,027	1,027
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.