Unlicensed Facility Case Coordinator Questionnaire (Form M-13E-UF) - Recordkeeping

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

OMB: 0970-0564

IC ID: 256795

Information Collection (IC) Details

View Information Collection (IC)

Unlicensed Facility Case Coordinator Questionnaire (Form M-13E-UF) - Recordkeeping
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form M-13E-UF Unlicensed Facility Case Coordinator Questionnaire M-13E-UF Case Coordinator Questionnaire.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

ORR Unaccompanied Refugee Minors Records  81 FR 46682

18 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 216 0 0 0 0 216
Annual IC Time Burden (Hours) 216 0 0 0 0 216
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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