80 FR 34161 - Proposed Information Collection Activity; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families Federal Register Volume 80, Issue 114 (June 15, 2015)
Administration for Children and Families
Federal Register Volume 80, Issue 114 (June 15, 2015)
| Page Range | 34161-34163 | |
| FR Document | 2015-14465 |
[Federal Register Volume 80, Number 114 (Monday, June 15, 2015)] [Notices] [Pages 34161-34163] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-14465] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Proposed Projects Title: U.S. Repatriation Program Forms. OMB No.: 0970--NEW (two of the forms have prior OMB No: [SSA-3955 & SSA-2061]). Description: The United States (U.S.) Repatriation Program was established by Title XI, Section 1113 of the Social Security Act (Assistance for U.S. Citizens Returned from Foreign Countries) to provide temporary assistance to U.S. citizens and their dependents who have been identified by the Department of State (DOS) as having returned, or been brought from a foreign country to the U.S. because of destitution, illness, war, threat of war, or a similar crisis, and are without available resources immediately accessible to meet their needs. The Secretary of the Department of Health and Human Services (HHS) was provided with the authority to administer this Program. On or about 1994, this authority was delegated by the HHS Secretary to the Administration for Children and Families (ACF) and later re-delegated by ACF to the Office of Refugee Resettlement. The Repatriation Program works with States, Federal agencies, and non-governmental organizations to provide eligible individuals with temporary assistance for up to 90- days. This assistance is in the form of a loan and must be repaid to the Federal Government. The Program was later expanded in response to legislation enacted by Congress to address the particular needs of persons with mental illness (24 U.S.C. Sections 321 through 329). Further refinements occurred in response to Executive Order (E.O.) 11490 (as amended) where HHS was given the responsibility to ``develop plans and procedures for assistance at ports of entry to U.S. personnel evacuated from overseas areas, their onward movement to final destination, and follow-up assistance after arrival at final destination.'' In addition, under E.O. 12656 (53 CFR 47491), ``Assignment of emergency preparedness responsibilities,'' HHS was given the lead responsibility to develop plans and procedures in order to provide assistance to U.S. citizens and others evacuated from overseas areas. In order to effectively and efficiently manage these legislative authorities, the Program has been divided into two major activities, Emergencies and Non-Emergencies Repatriation Activities. Operationally, these two Program activities involve different kinds of preparation, resources, and implementation. However, the core Program statute, regulations, policies and administrative procedures for these two Programs are essentially the same. The ongoing routine arrivals of individual repatriates and the repatriation of individuals with mental illness constitute the Program Non-emergency activities. Emergency Activities are characterized by contingency events such as civil unrest, war, threat of war or similar crisis, among other incidents. Depending on the type of event, number of evacuees and resources available, ACF will provide assistance utilizing two scalable mechanisms, emergency repatriations or group repatriations. Emergency repatriations assume the evacuation of 500 or more individuals, while group repatriations assume the evacuation of 50-500 individuals. The Program provides services through agreements with the States, U.S. Territories, Federal agencies, and Non-governmental agencies. The list of Repatriation Form is as follows: [[Page 34162]] 1. The HHS Repatriation Program: Emergency and Group Processing Form: Under 45 CFR 211 and 212, HHS is to make findings setting forth the pertinent facts and conclusions according to established standards to determine whether an individual is an eligible person. This form allows authorized staff to gather necessary information to determine eligibility and needed services. This form is to be utilized during emergency repatriation activities. Individuals interested in receiving Repatriation assistance will complete appropriate portions of this form. State personnel assisting with initial intake activities will use this form as a guide to perform a preliminary eligibility assessment. An authorized federal staff from the ACF will make final eligibility determinations. 2. The HHS Repatriation Program: Privacy and Repayment Agreement Form: Under 45 CFR 211 and 212, individuals who receive Program assistance are required to repay the federal government for the cost associated to the services received. This form authorizes HHS to release personal identifiable information to partners for the purpose of providing services to eligible repatriates. In addition, through this form, eligible repatriates agree to accept services under the terms and conditions of the Program. Specifically, eligible repatriates commit to repay the federal government for all temporary services received through the Program. This form is to be completed by eligible repatriates or authorized legal custodians. Excemption applies to unaccompanied minors and individuals eligible under 45 CFR 211, if no legal custodian is identified. 3. The HHS Repatriation Program: Refusal of Temporary Assistance Form: For individuals who are eligible to receive repatriation assistance but opt to relinquish services, this form is utilized to confirm and record repatriate's decision to refuse receiving Program assistance. This form is to be completed by eligible repatriates or authorized legal custodian. Excemption applies to unaccompanied minors and individuals eligible under 45 CFR 211, if no legal custodian is identified. 4. The HHS Repatriation Program: Emergency Repatriation Financial Form: Under Section 1113 of the Social Security Act, HHS is authorized to provide temporary assistance directly or through utilization of the services and facilities of appropriate public or private agencies and organizations, in accordance with agreements providing for payment, as may be determined by HHS. This form is to be utilized and completed by agencies that have entered into an agreement with ACF/ORR to request reimbursement of reasonable and allowable costs, both administrative and actual temporary services, associated to the support provided during emergency activities. 5. The HHS Repatriation Program: Non-emergency Monthly Financial Statement Form: Under Section 1113 of the Social Security Act, HHS is authorized to provide temporary assistance directly or through arrangements, in accordance with agreements providing for payment, as may be determined by HHS. This form is to be utilized and completed by the States and other authorized ACF/ORR agencies to request reimbursement of reasonable and allowable costs, both administrative and actual temporary services, associated to the direct provision of temporary assistance to eligible repatriates. 6. The HHS Repatriation Program: Repatriation Loan Waiver and Feferral Request Form: In accordance with 45 CFR 211 & 212 individuals who have received Repatriation assistance may be eligible to receive a waiver or deferral of their repatriation loan. This form is to be completed by eligible repatriates, authorized legal custodian, or authorized agency/individual. Excemption applies to unaccompanied minors and individuals eligible under 45 CFR 211, if no legal custodian is identified. 7. The HHS Repatriation Program: Temporary Assistance Extension Request Form: Under 45 CFR 211 & 212 temporary assistance may be furnished beyond the 90 days eligibility period if the repatriate meets the qualifications established under Program regulations. This form is to be completed by the eligible repatriate, authorized legal custodian, or the authorized agency/individual. This form should be submitted to ORR or its designated grantee generally 14-day prior to the expiration of the 90 days eligibility period. 8. The HHS Repatriation Program: State Request for Federal Support Form: During emergency repatriation activities, States activated by ORR are to use this form to request support and/or assistance from HHS, including but not limited to required pre-approval of expenditures, augmentation of State personnel, funding, reimbursement, among other things. Annual Burden Estimates ---------------------------------------------------------------------------------------------------------------- Average burden Instrument Number of Number of responses hours per Total burden hours respondents per respondent response ---------------------------------------------------------------------------------------------------------------- The HHS Repatriation 500 or more......... 1................... 0.30 150 or more. Program: Emergency and Group Processing Form. The HHS Repatriation 1,000 or more....... 1................... 0.05 50 or more. Program: Privacy and Repayment Agreement Form. The HHS Repatriation 20 or more.......... 1................... 0.05 1 or more. Program: Refusal of Temporary Assistance Form. The HHS Repatriation 15 or more.......... 1................... 0.30 4.5 or more. Program: Emergency Repatriation Financial Form. The HHS Repatriation 52 or more.......... 1................... 0.30 15.6 or more. Program: Non-emergency Monthly Financial Statement Form. The HHS Repatriation 100 or more......... 1................... 1 100 or more. Program: Repatriation Loan Waiver and Feferral Request Form. The HHS Repatriation 20 or more.......... 1................... 0.20 4 or more. Program: State Request for Federal Support. The HHS Repatriation 50 or more.......... 1 or more........... 0.20 10 or more. Program: Temporary Assistance Extension Request Form. ---------------------------------------------------------------------------------------------------------------- Estimated Total Annual Burden Hours: 335.1. In compliance with the requirements of Section 506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Administration for Children and [[Page 34163]] 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. 2015-14465 Filed 6-12-15; 8:45 am] BILLING CODE 4184-01-P
![Federal Register / Vol. 80, No. 114 / Monday, June 15, 2015 / Notices 34161
accomplishments of the Head Start Section 642B of the 2007 Head Start on Early Childhood Learning &
Collaboration Offices (HSCOs). HSCOs Act. The HSCO Annual Report is to be Knowledge Center (ECLKC) to promote
facilitate partnerships between Head reported annually by all HSCO to the accomplishments of HSCO.
Start agencies and other state entities ascertain progress and measurable Respondents: Head Start State and
that provide services to benefit low results for the previous year. The results National Collaboration Offices.
income children and their families. will also be used to populate the
HSCOs are awarded funds under Collaboration Office profile Web pages
ANNUAL BURDEN ESTIMATES
Number of Average burden
Number of Total burden
Instrument responses per hours per
respondents hours
respondent response
HSCO Annual Report ...................................................................... 54 1 4 216
Estimated Total Annual Burden DEPARTMENT OF HEALTH AND response to Executive Order (E.O.)
Hours: 216. HUMAN SERVICES 11490 (as amended) where HHS was
In compliance with the requirements given the responsibility to ‘‘develop
Administration for Children and plans and procedures for assistance at
of Section 506(c)(2)(A) of the Paperwork
Families ports of entry to U.S. personnel
Reduction Act of 1995, the
evacuated from overseas areas, their
Administration for Children and Proposed Information Collection onward movement to final destination,
Families is soliciting public comment Activity; Comment Request and follow-up assistance after arrival at
on the specific aspects of the final destination.’’ In addition, under
information collection described above. Proposed Projects
E.O. 12656 (53 CFR 47491),
Copies of the proposed collection of Title: U.S. Repatriation Program ‘‘Assignment of emergency
information can be obtained and Forms. preparedness responsibilities,’’ HHS
comments may be forwarded by writing OMB No.: 0970—NEW (two of the was given the lead responsibility to
to the Administration for Children and forms have prior OMB No: [SSA–3955 & develop plans and procedures in order
Families, Office of Planning, Research SSA–2061]). to provide assistance to U.S. citizens
and Evaluation, 370 L’Enfant Description: The United States (U.S.) and others evacuated from overseas
Promenade SW., Washington, DC 20447, Repatriation Program was established by areas.
Attn: ACF Reports Clearance Officer. Title XI, Section 1113 of the Social In order to effectively and efficiently
Email address: infocollection@ Security Act (Assistance for U.S. manage these legislative authorities, the
acf.hhs.gov. All requests should be Citizens Returned from Foreign Program has been divided into two
identified by the title of the information Countries) to provide temporary major activities, Emergencies and Non-
collection. assistance to U.S. citizens and their Emergencies Repatriation Activities.
dependents who have been identified by Operationally, these two Program
The Department specifically requests the Department of State (DOS) as having activities involve different kinds of
comments on: (a) Whether the proposed returned, or been brought from a foreign preparation, resources, and
collection of information is necessary country to the U.S. because of implementation. However, the core
for the proper performance of the destitution, illness, war, threat of war, Program statute, regulations, policies
functions of the agency, including or a similar crisis, and are without and administrative procedures for these
whether the information shall have available resources immediately two Programs are essentially the same.
practical utility; (b) the accuracy of the accessible to meet their needs. The The ongoing routine arrivals of
agency’s estimate of the burden of the Secretary of the Department of Health individual repatriates and the
proposed collection of information; (c) and Human Services (HHS) was repatriation of individuals with mental
the quality, utility, and clarity of the provided with the authority to illness constitute the Program Non-
information to be collected; and (d) administer this Program. On or about emergency activities. Emergency
ways to minimize the burden 1994, this authority was delegated by Activities are characterized by
information to be collected; and (d) the HHS Secretary to the Administration contingency events such as civil unrest,
ways to minimize the burden of the for Children and Families (ACF) and war, threat of war or similar crisis,
collection of information on later re-delegated by ACF to the Office among other incidents. Depending on
respondents, including through the use of Refugee Resettlement. The the type of event, number of evacuees
of automated collection techniques or Repatriation Program works with States, and resources available, ACF will
other forms of information technology. Federal agencies, and non-governmental provide assistance utilizing two scalable
Consideration will be given to organizations to provide eligible mechanisms, emergency repatriations or
comments and suggestions submitted individuals with temporary assistance group repatriations. Emergency
for up to 90-days. This assistance is in repatriations assume the evacuation of
asabaliauskas on DSK5VPTVN1PROD with NOTICES
within 60 days of this publication.
the form of a loan and must be repaid 500 or more individuals, while group
Robert Sargis, to the Federal Government. repatriations assume the evacuation of
Reports Clearance Officer. The Program was later expanded in 50–500 individuals.
[FR Doc. 2015–14626 Filed 6–12–15; 8:45 am] response to legislation enacted by The Program provides services
BILLING CODE 4184–01–P
Congress to address the particular needs through agreements with the States, U.S.
of persons with mental illness (24 Territories, Federal agencies, and Non-
U.S.C. Sections 321 through 329). governmental agencies. The list of
Further refinements occurred in Repatriation Form is as follows:
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![Federal Register / Vol. 80, No. 114 / Monday, June 15, 2015 / Notices 34163
Families is soliciting public comment of automated collection techniques or forth in Title II of Public Law 111–320,
on the specific aspects of the other forms of information technology. Child Abuse Prevention and Treatment
information collection described above. Consideration will be given to Act Amendments of 2010, provides
Copies of the proposed collection of comments and suggestions submitted direction to the States and Territories to
information can be obtained and within 60 days of this publication. accomplish the purposes of (1) to
comments may be forwarded by writing Robert Sargis, support community-based efforts to
to the Administration for Children and develop, operate, expand, enhance, and
Reports Clearance Officer.
Families, Office of Planning, Research coordinate initiatives, programs, and
[FR Doc. 2015–14465 Filed 6–12–15; 8:45 am]
and Evaluation, 370 L’Enfant activities to prevent child abuse and
BILLING CODE 4184–01–P
Promenade SW., Washington, DC 20447, neglect and to support the coordination
Attn: ACF Reports Clearance Officer. of resources and activities to better
Email address: infocollection@ DEPARTMENT OF HEALTH AND strengthen and support families to
acf.hhs.gov. All requests should be HUMAN SERVICES reduce the likelihood of child abuse and
identified by the title of the information neglect; and (2) to foster understanding,
collection. Administration for Children and appreciation and knowledge of diverse
The Department specifically requests Families populations in order to effectively
comments on: (a) Whether the proposed prevent and treat child abuse and
collection of information is necessary Submission for OMB Review; neglect. This Program Instruction
for the proper performance of the Comment Request contains information collection
functions of the agency, including requirements that are found in (Pub. L.
Title: Community-Based Family
whether the information shall have 111–320) at sections 201; 202; 203; 205;
Resource and Support Grants.
practical utility; (b) the accuracy of the OMB No.: 0970–0155. 206; and pursuant to receiving a grant
agency’s estimate of the burden of the Description: The Program Instruction, award. The information submitted will
proposed collection of information; (c) prepared in response to the enactment be used by the agency to ensure
the quality, utility, and clarity of the of the Community-Based Grants for the compliance with the statute, complete
information to be collected; and (d) Prevention of Child Abuse and Neglect the calculation of the grant award
ways to minimize the burden of the (administratively known as the entitlement, and provide training and
collection of information on Community Based Child Abuse technical assistance to the grantee.
respondents, including through the use Prevention Program, (CBCAP), as set Respondents: State Governments.
ANNUAL BURDEN ESTIMATES
Number of Average burden
Number of Total burden
Instrument responses per hours per
respondents hours
respondent response
Application ....................................................................................... 52 1 40 2,080
Annual Report .................................................................................. 52 1 24 1,248
Estimated Total Annual Burden the Administration for Children and for the administration of the refugee
Hours: 3,328. Families. resettlement program at the State level.
Additional Information: Copies of the Robert Sargis,
States, Wilson/Fish projects (alternative
proposed collection may be obtained by projects for the administration of the
Reports Clearance Officer.
writing to the Administration for refugee resettlement program), and State
[FR Doc. 2015–14662 Filed 6–12–15; 8:45 am]
Children and Families, Office of Replacement Designees currently
BILLING CODE 4184–01–P
Planning, Research and Evaluation, 370 submit the ORR–2 Financial Status
L’Enfant Promenade SW., Washington, Report in accordance with 45 CFR part
DC 20447, Attn: ACF Reports Clearance DEPARTMENT OF HEALTH AND 92 and 45 CFR part 74. This proposed
Officer. All requests should be HUMAN SERVICES data collection would collect financial
identified by the title of the information status data (i.e., amounts of
collection. Email address: Administration for Children and expenditures and obligations) broken
infocollection@acf.hhs.gov. Families down by the four program components:
OMB Comment: OMB is required to Refugee cash assistance, refugee medical
make a decision concerning the Submission for OMB Review; assistance, health screening, and
collection of information between 30 Comment Request services for unaccompanied refugee
and 60 days after publication of this Title: Office of Refugee Resettlement minors as well as by program
document in the Federal Register. Cash and Medical Assistance Program administration. This breakdown of
Therefore, a comment is best assured of Quarterly Report on Expenditures and financial status data on expenditures
having its full effect if OMB receives it and obligations allows ORR to track
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Obligations.
within 30 days of publication. Written OMB No.: 0970–0407. program expenditures in greater detail
comments and recommendations for the Description: The Office of Refugee to anticipate any funding issues and to
proposed information collection should Resettlement (ORR) reimburses, to the meet the requirements of ORR
be sent directly to the following: Office extent of available appropriations, regulations at 45 CFR 400.211 to collect
of Management and Budget, Paperwork certain non-federal costs for the these data for use in estimating annual
Reduction Project, Fax: 202–395–7285, provision of cash and medical costs of the refugee resettlement
Email: OIRA_SUBMISSION@ assistance to refugees and other eligible program. ORR must implement the
OMB.EOP.GOV, Attn: Desk Officer for persons, along with allowable expenses methodology at 45 CFR 400.211 each
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Document Created: 2015-12-15 15:13:37
Document Modified: 2015-12-15 15:13:37
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 80 FR 34161 |
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