80_FR_21319 80 FR 21245 - Proposed Information Collection Activity; Comment Request

80 FR 21245 - Proposed Information Collection Activity; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 80, Issue 74 (April 17, 2015)

Page Range21245-21246
FR Document2015-08835

Federal Register, Volume 80 Issue 74 (Friday, April 17, 2015)
[Federal Register Volume 80, Number 74 (Friday, April 17, 2015)]
[Notices]
[Pages 21245-21246]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-08835]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Proposed Information Collection Activity; Comment Request

Proposed Projects

    Title: Initial Medical Exam Form and Initial Dental Exam Form.
    OMB No.: New.

Description

    Pursuant to Exhibit 1, part A.2 of the Flores Settlement Agreement 
(Jenny Lisette Flores, et al., v. Janet Reno, Attorney General of the 
United States, et al., Case No. CV 85-4544-RJK (C.D. Cal. 1996), 
licensed programs, on behalf of the Administration for Children and 
Families' Office of Refugee Resettlement (ORR), shall arrange for 
appropriate routine medical and dental care, family planning services, 
and emergency health care services, including a complete medical 
examination (including screening for infectious disease) within 48 
hours of admission, excluding weekends and holidays, unless the minor 
was recently examined at another facility; appropriate immunizations in 
accordance with the U.S. Public Health Service (PHS), Center for 
Disease Control; administration of prescribed medication and special 
diets; appropriate mental health interventions when necessary for each 
minor in its care.
    The forms are to be used as worksheets for clinicians, medical 
staff, and the health department to compile information that would 
otherwise have been collected during the initial medical or dental 
exam. Once completed, the forms will be given to shelter staff for data 
entry into ORR's electronic data repository known as `The Portal.' Data 
will be used to record UC health on admission and for case management 
of any identified illnesses/conditions.
    Respondents: Clinicians, Health Department staff, Office of Refugee 
Resettlement Grantee staff.

[[Page 21246]]



                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
                   Instrument                        Number of     responses per     hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Initial Medical Exam Form (including Appendix A:             206             155             .25          7982.5
 Supplemental TB Screening Form)................
Initial Dental Exam Form........................             116              28             .08           259.8
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 8242.3.
    In compliance with the requirements of Section 506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Administration for Children and 
Families is soliciting public comment on the specific aspects of the 
information collection described above. Copies of the proposed 
collection of information can be obtained and comments may be forwarded 
by writing to the Administration for Children and Families, Office of 
Planning, Research and Evaluation, 370 L'Enfant Promenade SW., 
Washington, DC 20447, Attn: ACF Reports Clearance Officer. Email 
address: infocollection@acf.hhs.gov. All requests should be identified 
by the title of the information collection.
    The Department specifically requests comments on: (a) Whether the 
proposed collection of information is necessary for the proper 
performance of the functions of the agency, including whether the 
information shall have practical utility; (b) the accuracy of the 
agency's estimate of the burden of the proposed collection of 
information; (c) the quality, utility, and clarity of the information 
to be collected; and (d) ways to minimize the burden of the collection 
of information on respondents, including through the use of automated 
collection techniques or other forms of information technology. 
Consideration will be given to comments and suggestions submitted 
within 60 days of this publication.

Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-08835 Filed 4-16-15; 8:45 am]
 BILLING CODE 4184-01-P



                                                                               Federal Register / Vol. 80, No. 74 / Friday, April 17, 2015 / Notices                                                21245

                                              and AAAASF’s ability to provide                         described in section III of this final                  Dated: April 13, 2015.
                                              continuing surveyor training.                           notice, yielded the following areas                   Andrew M. Slavitt,
                                                ++ Compare AAAASF’s processes to                      where, as of the date of this notice,                 Acting Administrator, Centers for Medicare
                                              those we require of State Survey                        AAAASF has completed revising its                     & Medicaid Services.
                                              Agencies, including periodic resurvey                   standards and certification processes in              [FR Doc. 2015–08917 Filed 4–16–15; 8:45 am]
                                              and the ability to investigate and                      order to meet the requirements at:                    BILLING CODE 4120–01–P
                                              respond appropriately to complaints                        • Section 488.4(a)(3)(ii), to ensure
                                              against accredited OPTs.                                surveyors are provided the necessary
                                                ++ Evaluate AAAASF’s procedures                       tools to evaluate compliance with the                 DEPARTMENT OF HEALTH AND
                                              for monitoring OPTs it has found to be                  Medicare conditions.                                  HUMAN SERVICES
                                              out of compliance with AAAASF’s                            • Section 488.4(a)(3)(iii), to ensure
                                              program requirements. (This pertains                    the accreditation review process and                  Administration for Children and
                                              only to monitoring procedures when                      accreditation decision making process                 Families
                                              AAAASF identifies non-compliance. If                    meets the Medicare requirements, the
                                              noncompliance is identified by a State                  following was modified:                               Proposed Information Collection
                                              Survey Agency through a validation                         ++ Policy related to how AAAASF                    Activity; Comment Request
                                              survey, the State Survey Agency                         verifies an organization without a CMS
                                                                                                      certification number (CCN) seeking an                 Proposed Projects
                                              monitors corrections as specified at
                                              § 488.7(d).                                             initial survey has completed the                        Title: Initial Medical Exam Form and
                                                ++ Assess AAAASF’s ability to report                  Medicare enrollment application prior                 Initial Dental Exam Form.
                                              deficiencies to the surveyed OPT and                    to receiving an accreditation survey;                   OMB No.: New.
                                                                                                         ++ Policy for establishing an effective
                                              respond to the OPT’s plan of correction
                                                                                                      date for renewal surveys;                             Description
                                              in a timely manner.                                        ++ Policy for withdrawals and
                                                ++ Establish AAAASF’s ability to                      terminations; and                                        Pursuant to Exhibit 1, part A.2 of the
                                              provide CMS with electronic data and                       ++ Guidance and instructions on how                Flores Settlement Agreement (Jenny
                                              reports necessary for effective validation              plans of correction are handled when                  Lisette Flores, et al., v. Janet Reno,
                                              and assessment of the organization’s                    they are not adequate.                                Attorney General of the United States, et
                                              survey process.                                            • Section 488.4(a)(6), to address the              al., Case No. CV 85–4544–RJK (C.D. Cal.
                                                ++ Determine the adequacy of                          requirement where complaints that do                  1996), licensed programs, on behalf of
                                              AAAASF’s staff and other resources.                     not rise to the level of requiring an                 the Administration for Children and
                                                ++ Confirm AAAASF’s ability to                        onsite investigation are tracked and                  Families’ Office of Refugee Resettlement
                                              provide adequate funding for                            trended for potential focus areas during              (ORR), shall arrange for appropriate
                                              performing required surveys.                            the next onsite survey.                               routine medical and dental care, family
                                                ++ Confirm AAAASF’s policies with                        • Section 488.9, to address the                    planning services, and emergency
                                              respect to surveys being unannounced.                   number of medical records reviews that                health care services, including a
                                                ++ Obtain AAAASF’s agreement to                       must be completed onsite.                             complete medical examination
                                              provide CMS with a copy of the most                        • Section 488.26(b), to ensure survey              (including screening for infectious
                                              current accreditation survey together                   reports contain the appropriate level of              disease) within 48 hours of admission,
                                              with any other information related to                   deficiency (that is, standard versus                  excluding weekends and holidays,
                                              the survey as we may require, including                 condition).                                           unless the minor was recently examined
                                              corrective action plans.                                   • Section 488.28(a), to ensure plans of            at another facility; appropriate
                                                In accordance with section                            correction correct the cited deficiencies,            immunizations in accordance with the
                                              1865(a)(3)(A) of the Act, the November                  include thresholds of compliance and                  U.S. Public Health Service (PHS), Center
                                              21, 2014 proposed notice also solicited                 are sent timely.                                      for Disease Control; administration of
                                              public comments regarding whether                       B. Term of Approval                                   prescribed medication and special diets;
                                              AAAASF’s requirements met or                                                                                  appropriate mental health interventions
                                              exceeded the Medicare CoPs for OPTs.                      Based on our review and observations                when necessary for each minor in its
                                              We received no public comments in                       described in section III of this final                care.
                                              response to our proposed notice.                        notice, we approve AAAASF as a
                                                                                                                                                               The forms are to be used as
                                                                                                      national accreditation organization for
                                              IV. Provisions of the Final Notice                      OPTs that request participation in the                worksheets for clinicians, medical staff,
                                                                                                      Medicare program, effective April 22,                 and the health department to compile
                                              A. Differences Between AAAASF’s                                                                               information that would otherwise have
                                              Standards and Requirements for                          2015 through April 22, 2019.
                                                                                                                                                            been collected during the initial medical
                                              Accreditation and Medicare Conditions                   V. Collection of Information                          or dental exam. Once completed, the
                                              and Survey Requirements                                 Requirements                                          forms will be given to shelter staff for
                                                We compared AAAASF’s OPT                                This document does not impose                       data entry into ORR’s electronic data
                                              accreditation requirements and survey                   information collection requirements,                  repository known as ‘The Portal.’ Data
                                              process with the Medicare CoPs of part                  that is, reporting, recordkeeping or                  will be used to record UC health on
                                              485, subpart H and the survey and                       third-party disclosure requirements.                  admission and for case management of
                                              certification process requirements of                   Consequently, there is no need for                    any identified illnesses/conditions.
                                              parts 488 and 489. Our review and                       review by the Office of Management and                   Respondents: Clinicians, Health
tkelley on DSK3SPTVN1PROD with NOTICES




                                              evaluation of AAAASF’s OPT                              Budget under the authority of the                     Department staff, Office of Refugee
                                              application, which were conducted as                    Paperwork Reduction Act of 1995.                      Resettlement Grantee staff.




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                                              21246                                       Federal Register / Vol. 80, No. 74 / Friday, April 17, 2015 / Notices

                                                                                                                                  ANNUAL BURDEN ESTIMATES
                                                                                                                                                                                      Number of           Average
                                                                                                                                                                     Number of                                          Total burden
                                                                                               Instrument                                                                           responses per       burden hours
                                                                                                                                                                    respondents                                            hours
                                                                                                                                                                                      respondent        per response

                                              Initial Medical Exam Form (including Appendix A: Supplemental TB Screen-
                                                 ing Form) ......................................................................................................             206               155              .25           7982.5
                                              Initial Dental Exam Form .................................................................................                      116                28              .08            259.8



                                                Estimated Total Annual Burden                                           information to be collected; and (d)                          Community Based Child Abuse
                                              Hours: 8242.3.                                                            ways to minimize the burden of the                            Prevention Program, (CBCAP)), as set
                                                In compliance with the requirements                                     collection of information on                                  forth in Title II of Public Law 111–320,
                                              of Section 506(c)(2)(A) of the Paperwork                                  respondents, including through the use                        Child Abuse Prevention and Treatment
                                              Reduction Act of 1995, the                                                of automated collection techniques or                         Act Amendments of 2010, provides
                                              Administration for Children and                                           other forms of information technology.                        direction to the States and Territories to
                                              Families is soliciting public comment                                     Consideration will be given to                                accomplish the purposes of (1) to
                                              on the specific aspects of the                                            comments and suggestions submitted                            support community-based efforts to
                                              information collection described above.                                   within 60 days of this publication.                           develop, operate, expand, enhance, and
                                              Copies of the proposed collection of                                      Robert Sargis,
                                                                                                                                                                                      coordinate initiatives, programs, and
                                              information can be obtained and                                                                                                         activities to prevent child abuse and
                                                                                                                        Reports Clearance Officer.
                                              comments may be forwarded by writing                                                                                                    neglect and to support the coordination
                                                                                                                        [FR Doc. 2015–08835 Filed 4–16–15; 8:45 am]
                                              to the Administration for Children and                                                                                                  of resources and activities to better
                                                                                                                        BILLING CODE 4184–01–P
                                              Families, Office of Planning, Research                                                                                                  strengthen and support families to
                                              and Evaluation, 370 L’Enfant                                                                                                            reduce the likelihood of child abuse and
                                              Promenade SW., Washington, DC 20447,                                                                                                    neglect; and (2) to foster understanding,
                                                                                                                        DEPARTMENT OF HEALTH AND
                                              Attn: ACF Reports Clearance Officer.                                                                                                    appreciation and knowledge of diverse
                                                                                                                        HUMAN SERVICES
                                              Email address: infocollection@                                                                                                          populations in order to effectively
                                              acf.hhs.gov. All requests should be                                       Administration for Children and                               prevent and treat child abuse and
                                              identified by the title of the information                                Families                                                      neglect. This Program Instruction
                                              collection.                                                                                                                             contains information collection
                                                The Department specifically requests                                    Submission for OMB Review;                                    requirements that are found in (Pub. L.
                                              comments on: (a) Whether the proposed                                     Comment Request                                               111–320) at sections 201; 202; 203; 205;
                                              collection of information is necessary                                                                                                  206; and pursuant to receiving a grant
                                                                                                                          Title: Community-Based Family
                                              for the proper performance of the                                                                                                       award. The information submitted will
                                                                                                                        Resource and Support Grants.
                                              functions of the agency, including                                          OMB No.: 0970–0155.                                         be used by the agency to ensure
                                              whether the information shall have                                          Description: The Program Instruction,                       compliance with the statute, complete
                                              practical utility; (b) the accuracy of the                                prepared in response to the enactment                         the calculation of the grant award
                                              agency’s estimate of the burden of the                                    of the Community-Based Grants for the                         entitlement, and provide training and
                                              proposed collection of information; (c)                                   Prevention of Child Abuse and Neglect                         technical assistance to the grantee.
                                              the quality, utility, and clarity of the                                  (administratively known as the                                   Respondents: State Governments.

                                                                                                                                  ANNUAL BURDEN ESTIMATES
                                                                                                                                                                                      Number of           Average
                                                                                                                                                                     Number of                                          Total burden
                                                                                               Instrument                                                                           responses per       burden hours
                                                                                                                                                                    respondents                                            hours
                                                                                                                                                                                      respondent        per response

                                              Application .......................................................................................................              52                 1                40               2,080
                                              Annual Report ..................................................................................................                 52                 1                24               1,248



                                                Estimated Total Annual Burden                                           and 60 days after publication of this                         the Administration for Children and
                                              Hours: 3,328.                                                             document in the Federal Register.                             Families.
                                                Additional Information: Copies of the                                   Therefore, a comment is best assured of
                                                                                                                                                                                      Robert Sargis,
                                              proposed collection may be obtained by                                    having its full effect if OMB receives it
                                              writing to the Administration for                                         within 30 days of publication. Written                        Reports Clearance Officer.
                                              Children and Families, Office of                                          comments and recommendations for the                          [FR Doc. 2015–08866 Filed 4–16–15; 8:45 am]
                                              Planning, Research and Evaluation, 370                                    proposed information collection should                        BILLING CODE 4184–01–P
                                              L’Enfant Promenade, SW., Washington,                                      be sent directly to the following: Office
                                              DC 20447, Attn: ACF Reports Clearance                                     of Management and Budget, Paperwork
tkelley on DSK3SPTVN1PROD with NOTICES




                                              Officer. All requests should be                                           Reduction Project, Fax: 202–395–7285,
                                              identified by the title of the information                                Email: OIRA_SUBMISSION@
                                              collection. Email address:                                                OMB.EOP.GOV, Attn: Desk Officer for
                                              infocollection@acf.hhs.gov.
                                                OMB Comment: OMB is required to
                                              make a decision concerning the
                                              collection of information between 30


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Document Created: 2015-12-18 11:20:06
Document Modified: 2015-12-18 11:20:06
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation80 FR 21245 

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