OMB
.report
Search
Bed Configuration Module (Form P-12A)
Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities
OMB: 0970-0554
IC ID: 261943
OMB.report
HHS/ACF
OMB 0970-0554
ICR 202407-0970-012
IC 261943
( )
Documents and Forms
Document Name
Document Type
Form P-12A
Bed Configuration Module (Form P-12A)
Form and Instruction
P-12A Bed Configuration Module
P-12A Bed Configuration Module.pdf
Form and Instruction
P-12A Bed Configuration Module
P-12A Bed Configuration Module.pdf
Form and Instruction
Supplemental - Bed Configuration Module Guide.pdf
Supplemental - Bed Configuration Module Guide
IC Document
Supplemental - Bed Configuration Module Guide.pdf
Supplemental - Bed Configuration Module Guide
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Bed Configuration Module (Form P-12A)
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-12A
Bed Configuration Module
P-12A Bed Configuration Module.pdf
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:
262
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
3,144
0
0
0
0
3,144
Annual IC Time Burden (Hours)
534
0
0
0
0
534
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supplemental - Bed Configuration Module Guide
Supplemental - Bed Configuration Module Guide.pdf
08/30/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.