80_FR_53978 80 FR 53805 - Proposed Information Collection Activity; Comment Request

80 FR 53805 - Proposed Information Collection Activity; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 80, Issue 173 (September 8, 2015)

Page Range53805-53807
FR Document2015-22495

Federal Register, Volume 80 Issue 173 (Tuesday, September 8, 2015)
[Federal Register Volume 80, Number 173 (Tuesday, September 8, 2015)]
[Notices]
[Pages 53805-53807]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-22495]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Proposed Information Collection Activity; Comment Request

    Proposed Projects: ORR, Unaccompanied Children's Program, Division 
of Children's Services (DCS)
    Title: Information Collection and Record Keeping for the Timely 
Placement and Release of Unaccompanied Children (UC) in ORR Care
    OMB No.:
    Description:
    On March 1, 2003, the Homeland Security Act of 2002, Section 462, 
transferred responsibilities for the care and placement of 
unaccompanied children from the Commissioner of the Immigration and 
Naturalization Service to the Director of the Office of Refugee 
Resettlement (ORR). ORR is also governed by the provisions established 
by the Flores Agreement in 1997 and the William Wilberforce Trafficking 
Victims Protection Reauthorization Act (TVPRA) of 2008.
    The ORR Unaccompanied Children's Program provides placement, care, 
custody and services for UC until they can be successfully released to 
a sponsor, are repatriated to their home country, or able to obtain 
legal status.
    Through cooperative agreements and contracts, ORR funds residential 
care providers that provide temporary housing and other services to 
unaccompanied children in ORR custody. These care provider facilities 
are State licensed and must meet ORR requirements to ensure a high 
level quality of care. They provide a continuum of care for children, 
including placements in ORR foster care, group homes, shelter, staff 
secure, secure, and residential treatment centers. The care providers 
provide children with classroom education, health care, socialization/
recreation, vocational training, mental health services, access to 
legal services, and case management.
    Under the law, ORR and its care providers are required to:
    (1) Collect information about each UC who is entrusted to the care 
of ORR in order to determine the most appropriate and least restrictive 
placement, provide adequate services, and identify qualified sponsors 
for the timely release of the child or youth. ORR has developed 
instruments to assess the child or youth and his or her needs and 
conditions throughout his or her stay with ORR as well as the 
identification and assessment of potential sponsors. These instruments 
allow for consistency and compliance of standards across care providers 
and help ORR monitor programs and identify problems and issues that 
need corrective action.
    (2) Keep up-to-date records to ensure the child or youth's safety 
and security and care and to provide accountability with all Federal 
and State, licensing, and other standards by care providers.
    (3) Notify UC of their rights and responsibilities under the law, 
including notice about ORR services, the fact that that they have the 
right to apply for Special Immigrant Juvenile (SIJ) status, and their 
legal responsibility to attend an immigration hearing.
    These tasks are mainly conducted through the ORR online database 
(The UC Portal), which provides a central location for case records and 
the documentation of other activities (for example, when a child or 
youth is transferred to another facility). Many of these records are 
``auto-populated'' on the UC Portal once the original data points are 
completed (such as DOB, A number, date of initial placement).
    The data collection described here pertains to activities involving 
UC and care providers from initial intakes of UC into ORR care to his 
or her release from ORR care. It does not cover information collection 
for potential sponsors (Submitted via separate OMB request in January 
2015.)
    ORR has applied the following assumptions to this request:
    (1) Items related to tasks that are routine and customary for care 
providers and others are excluded. This includes quarterly or annual 
financial or other reports, grant related requests from ORR Project 
Officers or others for monitoring performance and progress, and third 
party notifications to other government agencies, such as U.S. 
Department of Homeland Security (DHS) or U.S. Department of Justice 
(DOJ). (For financial and other reports, Care Providers use templates 
posted on http://www.acf.hhs.gov/grants/grants_resources.html#reporting)
    (2) Data collection and reporting requirements do not reflect those 
required by State or local licensing or accreditation requirements.
    (3) Acknowledgement of receipt of information or other 
acknowledgements via signature by either the UC or the care provider or 
others are not included in this information request as these are 
administrative in nature in order to help care providers and UC track 
personal belongings, DHS related documents, medical records, and other 
important items required by the UC following release from ORR care.
    The components of this information request include:
    (1) UC Portal Capacity Report: Care providers complete the sections 
on ``In Care'' and ``Beds in Reserve'' as well as the section recording 
the UC who have been discharged on a daily basis so that ORR Intakes 
has a complete picture of available beds for UC placements.
    (2) The Further Assessment Swift Track (FAST) Placement Tool 
(Versions for Secure and Staff Secure placements): Initially used by 
ORR Intakes to determine when a UC warrants a placement in Secure or 
Staff Secure Care. Care providers must use the tool to update a status 
for UC who are placed in Secure Care at least every 30 days. (Care 
providers are not required to re-use tool for UC who have been placed 
in Staff Secure Care).
    (3) Placement Authorization: Auto-generated. Requires a signature 
from the care provider acknowledging a particular UC placement into 
their facility.
    (4) Notice of Placement in Secure or Staff Secure Facility: 
Acknowledges UC's placement in a secure or staff secure care provider 
facility with signature of UC and facility witness.
    (5) Initial Intakes Assessment: Biographical information is auto-

[[Page 53806]]

populated for care providers based on ORR information obtained at 
Intakes. Screens for trafficking or other safety concerns, special 
needs, danger to self and others, medical conditions, mental health 
concerns.
    (6) UC Assessment: Care provider must complete within 7 days of 
UC's admission, covers biographic, family, legal, migration, medical, 
substance abuse, and mental health history.
    (7) Individual Service Plan: Documents the services that have been 
provided (for example, number of counseling sessions, educational 
assessment and classes) and is updated every 30 days. When a child is 
transferred to a new facility, a new ISP is developed.
    (8) UC Case Review Form: Documents any new information not 
indicated in the UC Assessment.
    (9) New Sponsor Form: Identifies any potential sponsor(s) for a 
particular UC. In addition to serving as a record for a particular 
case, helps ORR track individuals who are attempting to sponsor 
numerous UC, which may suggest a possible trafficking or abuse 
situation.
    (10) Transfer Request and Tracking Form: Auto-populated and used to 
obtain ORR permission for transfer to another care facility. (Filled 
out by both ORR and care providers) and used to document when a UC is 
transferred from one facility to another (requires signatures of both 
facilities).
    (11) Long Term Foster Care Placement Memo: When ORR identifies a 
placement of a UC with a long term foster care facility, the long term 
foster care provider or national VOLAG receiving the transfer request 
completes the memo and sends to ORR to ensure continuity of services 
and tracking of records for a UC.
    (12) Travel Request form for UC Long Term Foster Care: Must be 
filled out by program at least 10 days prior to travel start date.
    (13) Notice of Transfer to ICE Chief Counsel and Change of Address: 
Required so that the Chief Counsel of ICE may file a Motion for Change 
of Venue and/or Change of Address with the Executive Office for 
Immigration Review (EOIR), if applicable, to ensure immigration hearing 
may proceed.
    (14) Care Provider Release Checklist: Care providers must complete 
and affirm that all documents, forms, and steps are completed in the 
release process.
    (15) Release Request: Provides care provider recommendation for 
release of a UC to a sponsor. All releases must be approved by ORR 
prior to UC release.
    (16) Discharge Notification: Includes date and type of discharge 
(transfer, home country, sponsor release) and is sent to ICE.
    (17) Verification of Release: Signed by sponsor as notification 
that named UC has been released according to the law. Sponsor must also 
acknowledge agreement with the provisions of the Sponsor Care Agreement 
pertaining to the minor's care, safety, and well-being, and the 
sponsor's responsibility for ensuring the minor's presence at all 
future proceedings before the Department of Homeland Security and EOIR.
    (18) Child Advocate Referral and Appointment Form: Used by the 
Child Advocate Program to recommend that ORR appoint an independent 
child advocate for a victim of child trafficking or in other cases 
involving vulnerable children.
    (19) Notice of Rights Handout and Notice of Rights and Provision of 
Services: Care providers are required to provide to all UC under the 
Flores v. Reno Settlement Agreement.
    (20) Legal Service Provider List for UC: List of organizations who 
offer free legal representation and help for UC with State and Federal 
courts, immigration hearings, and appeals. Required under the Flores 
Settlement Agreement.
    (21) URM Application: Certain populations of children and youth in 
ORR custody may become eligible for the Unaccompanied Refugee Minors 
Program, which is a State administered foster care program. In such 
instances the care provider facility or other interested party may 
complete this application form on behalf of the child.
    (22) Withdrawal of Application or Declination of Placement Form: If 
a youth who has submitted an application for the URM Program wishes to 
withdraw this application, or if he or she has been offered placement 
and wishes to decline this placement, the youth must complete this 
form.
    (23) Standard Shelter Tour Request: Used by members of the public 
and the media to submit to care providers in order to tour a shelter 
facility.
    Respondents: UC in ORR care and custody (they are generally 
referred to ORR from the DHS) and who are then referred to ORR's 
Network of Care Providers.
    Staff in ORR's Care Provider Network, including those in shelter 
care, secure and staff secure care, foster care, and residential 
treatment centers.
    Approved sponsors of UC released from ORR care.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                        Number of
             Instrument                 Number of     responses per   Average  burden hours  per   Total burden
                                       respondents     respondent              response                hours
----------------------------------------------------------------------------------------------------------------
UC Portal Capacity Report..........              50               1  .16/hour...................               8
Further Assessment Swift Track                2,320               1  .25/hour...................             580
 (FAST) Placement Tool.
Placement Authorization Form.......          58,000               1  .1/hour....................           5,800
Notice of Placement in Secure or              2,320               1  .1/hour....................             232
 Staff Secure Facility.
Initial Intakes Form...............          58,000               1  .25/hour...................          14,500
UC Assessment......................          58,000               1  .50/hour...................          29,000
Individual Service Plan............          58,000               1  .25........................          14,500
UC Case Review Form................          58,000               1  .50/hour...................          29,000
New Sponsor Form...................          55,200               1  .25/hour...................          13,800
Transfer Request and Tracking Form.           1,000               1  .25/hour...................             250
Long Term Foster Care Placement                 279               1  .1/hour....................              28
 Memo.
Travel Request Form for UC Long                  20               1  .25/hour...................               5
 Term Foster Care.
Notice of Transfer to ICE Chief               2,320               1  .1/hour....................             232
 Counsel and Change of Address.
Care Provider Release Checklist....          55,200               1  .1.........................           5,520
Release Request....................          55,200               3  .25 hour...................          41,400
Discharge Notification.............             716               1  .25/hour...................             179
Verification of Release............          55,200               1  .1/hour....................           5,520
Child Advocate Referral and                     250               1  .50........................             125
 Appointment Form.
Notice of Rights Handout and Notice          58,000               1  .1/hour....................           5,800
 of Rights and Provision of
 Services.

[[Page 53807]]

 
Legal Service Provider List for UC.          58,000               1  .1.........................           5,800
URM Application....................             350               1  1..........................             350
Withdrawal of Application or                     10               1  .1/hour....................               1
 Declination of Placement Form.
Standard Shelter Tour Request......              60               1  .1/hour....................               6
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 172,636.
    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. 2015-22495 Filed 9-4-15; 8:45 am]
 BILLING CODE 4184-01-P



                                                                               Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices                                          53805

                                                      Estimated Total Annual Burden                         custody and services for UC until they                ORR care. It does not cover information
                                                    Hours: 2,352.                                           can be successfully released to a                     collection for potential sponsors
                                                      Additional Information: Copies of the                 sponsor, are repatriated to their home                (Submitted via separate OMB request in
                                                    proposed collection may be obtained by                  country, or able to obtain legal status.              January 2015.)
                                                    writing to the Administration for                          Through cooperative agreements and                    ORR has applied the following
                                                    Children and Families, Office of                        contracts, ORR funds residential care                 assumptions to this request:
                                                    Planning, Research and Evaluation, 370                  providers that provide temporary                         (1) Items related to tasks that are
                                                    L’Enfant Promenade SW., Washington,                     housing and other services to                         routine and customary for care
                                                    DC 20447, Attn: ACF Reports Clearance                   unaccompanied children in ORR                         providers and others are excluded. This
                                                    Officer. All requests should be                         custody. These care provider facilities               includes quarterly or annual financial or
                                                    identified by the title of the information              are State licensed and must meet ORR                  other reports, grant related requests
                                                    collection. Email address:                              requirements to ensure a high level                   from ORR Project Officers or others for
                                                    infocollection@acf.hhs.gov.                             quality of care. They provide a                       monitoring performance and progress,
                                                      OMB Comment: OMB is required to                       continuum of care for children,                       and third party notifications to other
                                                    make a decision concerning the                          including placements in ORR foster                    government agencies, such as U.S.
                                                    collection of information between 30                    care, group homes, shelter, staff secure,             Department of Homeland Security
                                                    and 60 days after publication of this                   secure, and residential treatment                     (DHS) or U.S. Department of Justice
                                                    document in the Federal Register.                       centers. The care providers provide                   (DOJ). (For financial and other reports,
                                                    Therefore, a comment is best assured of                 children with classroom education,                    Care Providers use templates posted on
                                                    having its full effect if OMB receives it               health care, socialization/recreation,                http://www.acf.hhs.gov/grants/grants_
                                                    within 30 days of publication. Written                  vocational training, mental health                    resources.html#reporting)
                                                    comments and recommendations for the                    services, access to legal services, and                  (2) Data collection and reporting
                                                    proposed information collection should                  case management.                                      requirements do not reflect those
                                                    be sent directly to the following: Office                  Under the law, ORR and its care                    required by State or local licensing or
                                                    of Management and Budget, Paperwork                     providers are required to:                            accreditation requirements.
                                                    Reduction Project, Email: OIRA_                            (1) Collect information about each UC                 (3) Acknowledgement of receipt of
                                                    SUBMISSION@OMB.EOP.GOV, Attn:                           who is entrusted to the care of ORR in                information or other acknowledgements
                                                    Desk Officer for the Administration for                 order to determine the most appropriate               via signature by either the UC or the
                                                    Children and Families.                                  and least restrictive placement, provide              care provider or others are not included
                                                                                                            adequate services, and identify qualified             in this information request as these are
                                                    Robert Sargis,                                          sponsors for the timely release of the                administrative in nature in order to help
                                                    Reports Clearance Officer.                              child or youth. ORR has developed                     care providers and UC track personal
                                                    [FR Doc. 2015–22571 Filed 9–4–15; 8:45 am]              instruments to assess the child or youth              belongings, DHS related documents,
                                                    BILLING CODE 4184–01–P                                  and his or her needs and conditions                   medical records, and other important
                                                                                                            throughout his or her stay with ORR as                items required by the UC following
                                                                                                            well as the identification and                        release from ORR care.
                                                    DEPARTMENT OF HEALTH AND                                assessment of potential sponsors. These                  The components of this information
                                                    HUMAN SERVICES                                          instruments allow for consistency and                 request include:
                                                                                                            compliance of standards across care                      (1) UC Portal Capacity Report: Care
                                                    Administration for Children and                         providers and help ORR monitor                        providers complete the sections on ‘‘In
                                                    Families                                                programs and identify problems and                    Care’’ and ‘‘Beds in Reserve’’ as well as
                                                                                                            issues that need corrective action.                   the section recording the UC who have
                                                    Proposed Information Collection                            (2) Keep up-to-date records to ensure              been discharged on a daily basis so that
                                                    Activity; Comment Request                               the child or youth’s safety and security              ORR Intakes has a complete picture of
                                                       Proposed Projects: ORR,                              and care and to provide accountability                available beds for UC placements.
                                                    Unaccompanied Children’s Program,                       with all Federal and State, licensing,                   (2) The Further Assessment Swift
                                                    Division of Children’s Services (DCS)                   and other standards by care providers.                Track (FAST) Placement Tool (Versions
                                                       Title: Information Collection and                       (3) Notify UC of their rights and                  for Secure and Staff Secure placements):
                                                    Record Keeping for the Timely                           responsibilities under the law,                       Initially used by ORR Intakes to
                                                    Placement and Release of                                including notice about ORR services,                  determine when a UC warrants a
                                                    Unaccompanied Children (UC) in ORR                      the fact that that they have the right to             placement in Secure or Staff Secure
                                                    Care                                                    apply for Special Immigrant Juvenile                  Care. Care providers must use the tool
                                                       OMB No.:                                             (SIJ) status, and their legal responsibility          to update a status for UC who are placed
                                                       Description:                                         to attend an immigration hearing.                     in Secure Care at least every 30 days.
                                                       On March 1, 2003, the Homeland                          These tasks are mainly conducted                   (Care providers are not required to re-
                                                    Security Act of 2002, Section 462,                      through the ORR online database (The                  use tool for UC who have been placed
                                                    transferred responsibilities for the care               UC Portal), which provides a central                  in Staff Secure Care).
                                                    and placement of unaccompanied                          location for case records and the                        (3) Placement Authorization: Auto-
                                                    children from the Commissioner of the                   documentation of other activities (for                generated. Requires a signature from the
                                                    Immigration and Naturalization Service                  example, when a child or youth is                     care provider acknowledging a
                                                    to the Director of the Office of Refugee                transferred to another facility). Many of
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                                                                                                                                                                  particular UC placement into their
                                                    Resettlement (ORR). ORR is also                         these records are ‘‘auto-populated’’ on               facility.
                                                    governed by the provisions established                  the UC Portal once the original data                     (4) Notice of Placement in Secure or
                                                    by the Flores Agreement in 1997 and the                 points are completed (such as DOB, A                  Staff Secure Facility: Acknowledges
                                                    William Wilberforce Trafficking Victims                 number, date of initial placement).                   UC’s placement in a secure or staff
                                                    Protection Reauthorization Act (TVPRA)                     The data collection described here                 secure care provider facility with
                                                    of 2008.                                                pertains to activities involving UC and               signature of UC and facility witness.
                                                       The ORR Unaccompanied Children’s                     care providers from initial intakes of UC                (5) Initial Intakes Assessment:
                                                    Program provides placement, care,                       into ORR care to his or her release from              Biographical information is auto-


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                                                    53806                              Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices

                                                    populated for care providers based on                                  continuity of services and tracking of                              (19) Notice of Rights Handout and
                                                    ORR information obtained at Intakes.                                   records for a UC.                                                Notice of Rights and Provision of
                                                    Screens for trafficking or other safety                                   (12) Travel Request form for UC Long                          Services: Care providers are required to
                                                    concerns, special needs, danger to self                                Term Foster Care: Must be filled out by                          provide to all UC under the Flores v.
                                                    and others, medical conditions, mental                                 program at least 10 days prior to travel                         Reno Settlement Agreement.
                                                    health concerns.                                                       start date.                                                         (20) Legal Service Provider List for
                                                       (6) UC Assessment: Care provider                                       (13) Notice of Transfer to ICE Chief                          UC: List of organizations who offer free
                                                    must complete within 7 days of UC’s                                    Counsel and Change of Address:                                   legal representation and help for UC
                                                    admission, covers biographic, family,                                  Required so that the Chief Counsel of                            with State and Federal courts,
                                                    legal, migration, medical, substance                                   ICE may file a Motion for Change of                              immigration hearings, and appeals.
                                                    abuse, and mental health history.                                      Venue and/or Change of Address with                              Required under the Flores Settlement
                                                       (7) Individual Service Plan:                                        the Executive Office for Immigration                             Agreement.
                                                    Documents the services that have been                                  Review (EOIR), if applicable, to ensure
                                                                                                                           immigration hearing may proceed.                                    (21) URM Application: Certain
                                                    provided (for example, number of                                                                                                        populations of children and youth in
                                                    counseling sessions, educational                                          (14) Care Provider Release Checklist:
                                                                                                                           Care providers must complete and                                 ORR custody may become eligible for
                                                    assessment and classes) and is updated                                                                                                  the Unaccompanied Refugee Minors
                                                    every 30 days. When a child is                                         affirm that all documents, forms, and
                                                                                                                           steps are completed in the release                               Program, which is a State administered
                                                    transferred to a new facility, a new ISP                                                                                                foster care program. In such instances
                                                    is developed.                                                          process.
                                                                                                                              (15) Release Request: Provides care                           the care provider facility or other
                                                       (8) UC Case Review Form: Documents                                  provider recommendation for release of                           interested party may complete this
                                                    any new information not indicated in                                   a UC to a sponsor. All releases must be                          application form on behalf of the child.
                                                    the UC Assessment.                                                     approved by ORR prior to UC release.                                (22) Withdrawal of Application or
                                                       (9) New Sponsor Form: Identifies any                                   (16) Discharge Notification: Includes                         Declination of Placement Form: If a
                                                    potential sponsor(s) for a particular UC.                              date and type of discharge (transfer,                            youth who has submitted an application
                                                    In addition to serving as a record for a                               home country, sponsor release) and is                            for the URM Program wishes to
                                                    particular case, helps ORR track                                       sent to ICE.                                                     withdraw this application, or if he or
                                                    individuals who are attempting to                                         (17) Verification of Release: Signed by                       she has been offered placement and
                                                    sponsor numerous UC, which may                                         sponsor as notification that named UC                            wishes to decline this placement, the
                                                    suggest a possible trafficking or abuse                                has been released according to the law.                          youth must complete this form.
                                                    situation.                                                             Sponsor must also acknowledge                                       (23) Standard Shelter Tour Request:
                                                       (10) Transfer Request and Tracking                                  agreement with the provisions of the                             Used by members of the public and the
                                                    Form: Auto-populated and used to                                       Sponsor Care Agreement pertaining to                             media to submit to care providers in
                                                    obtain ORR permission for transfer to                                  the minor’s care, safety, and well-being,                        order to tour a shelter facility.
                                                    another care facility. (Filled out by both                             and the sponsor’s responsibility for
                                                    ORR and care providers) and used to                                    ensuring the minor’s presence at all                                Respondents: UC in ORR care and
                                                    document when a UC is transferred                                      future proceedings before the                                    custody (they are generally referred to
                                                    from one facility to another (requires                                 Department of Homeland Security and                              ORR from the DHS) and who are then
                                                    signatures of both facilities).                                        EOIR.                                                            referred to ORR’s Network of Care
                                                       (11) Long Term Foster Care Placement                                   (18) Child Advocate Referral and                              Providers.
                                                    Memo: When ORR identifies a                                            Appointment Form: Used by the Child                                 Staff in ORR’s Care Provider Network,
                                                    placement of a UC with a long term                                     Advocate Program to recommend that                               including those in shelter care, secure
                                                    foster care facility, the long term foster                             ORR appoint an independent child                                 and staff secure care, foster care, and
                                                    care provider or national VOLAG                                        advocate for a victim of child trafficking                       residential treatment centers.
                                                    receiving the transfer request completes                               or in other cases involving vulnerable                              Approved sponsors of UC released
                                                    the memo and sends to ORR to ensure                                    children.                                                        from ORR care.

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

                                                    UC Portal Capacity Report ...........................................................................                          50                 1   .16/hour ............                  8
                                                    Further Assessment Swift Track (FAST) Placement Tool ...........................                                            2,320                 1   .25/hour ............                580
                                                    Placement Authorization Form .....................................................................                         58,000                 1   .1/hour ..............             5,800
                                                    Notice of Placement in Secure or Staff Secure Facility ...............................                                      2,320                 1   .1/hour ..............               232
                                                    Initial Intakes Form .......................................................................................               58,000                 1   .25/hour ............             14,500
                                                    UC Assessment ............................................................................................                 58,000                 1   .50/hour ............             29,000
                                                    Individual Service Plan .................................................................................                  58,000                 1   .25 ....................          14,500
                                                    UC Case Review Form .................................................................................                      58,000                 1   .50/hour ............             29,000
                                                    New Sponsor Form .......................................................................................                   55,200                 1   .25/hour ............             13,800
                                                    Transfer Request and Tracking Form ..........................................................                               1,000                 1   .25/hour ............                250
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                                                    Long Term Foster Care Placement Memo ...................................................                                      279                 1   .1/hour ..............                28
                                                    Travel Request Form for UC Long Term Foster Care .................................                                             20                 1   .25/hour ............                  5
                                                    Notice of Transfer to ICE Chief Counsel and Change of Address ..............                                                2,320                 1   .1/hour ..............               232
                                                    Care Provider Release Checklist ..................................................................                         55,200                 1   .1 ......................          5,520
                                                    Release Request ..........................................................................................                 55,200                 3   .25 hour ............             41,400
                                                    Discharge Notification ...................................................................................                    716                 1   .25/hour ............                179
                                                    Verification of Release ..................................................................................                 55,200                 1   .1/hour ..............             5,520
                                                    Child Advocate Referral and Appointment Form ..........................................                                       250                 1   .50 ....................             125
                                                    Notice of Rights Handout and Notice of Rights and Provision of Services                                                    58,000                 1   .1/hour ..............             5,800



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                                                                                       Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices                                                                         53807

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

                                                    Legal Service Provider List for UC ...............................................................                        58,000                 1   .1 ......................          5,800
                                                    URM Application ...........................................................................................                  350                 1   1 .......................            350
                                                    Withdrawal of Application or Declination of Placement Form ......................                                             10                 1   .1/hour ..............                 1
                                                    Standard Shelter Tour Request ....................................................................                            60                 1   .1/hour ..............                 6



                                                      Estimated Total Annual Burden                                       DEPARTMENT OF HEALTH AND                                         Office of Management and Budget
                                                    Hours: 172,636.                                                       HUMAN SERVICES                                                   (OMB) for each collection of
                                                      In compliance with the requirements                                                                                                  information they conduct or sponsor.
                                                                                                                          Food and Drug Administration                                     ‘‘Collection of information’’ is defined
                                                    of Section 506(c)(2)(A) of the Paperwork
                                                                                                                                                                                           in 44 U.S.C. 3502(3) and 5 CFR
                                                    Reduction Act of 1995, the                                            [Docket No. FDA–2012–N–0961]
                                                                                                                                                                                           1320.3(c) and includes Agency requests
                                                    Administration for Children and
                                                                                                                          Agency Information Collection                                    or requirements that members of the
                                                    Families is soliciting public comment                                                                                                  public submit reports, keep records, or
                                                    on the specific aspects of the                                        Activities; Proposed Collection;
                                                                                                                          Comment Request; Environmental                                   provide information to a third party.
                                                    information collection described above.                                                                                                Section 3506(c)(2)(A) of the PRA (44
                                                                                                                          Impact Considerations
                                                    Copies of the proposed collection of                                                                                                   U.S.C. 3506(c)(2)(A)) requires Federal
                                                    information can be obtained and                                       AGENCY:        Food and Drug Administration,                     Agencies to provide a 60-day notice in
                                                    comments may be forwarded by writing                                  HHS.                                                             the Federal Register concerning each
                                                    to the Administration for Children and                                ACTION:       Notice.                                            proposed collection of information,
                                                    Families, Office of Planning, Research                                                                                                 including each proposed extension of an
                                                    and Evaluation, 370 L’Enfant                                          SUMMARY:  The Food and Drug                                      existing collection of information,
                                                    Promenade SW., Washington, DC 20447,                                  Administration (FDA) is announcing an                            before submitting the collection to OMB
                                                    Attn: ACF Reports Clearance Officer.                                  opportunity for public comment on the                            for approval. To comply with this
                                                    Email address: infocollection@                                        proposed collection of certain                                   requirement, FDA is publishing notice
                                                    acf.hhs.gov. All requests should be                                   information by the Agency. Under the                             of the proposed collection of
                                                    identified by the title of the information                            Paperwork Reduction Act of 1995 (the                             information listed below.
                                                    collection.                                                           PRA), Federal Agencies are required to                              With respect to the following
                                                                                                                          publish notice in the Federal Register                           collection of information, FDA invites
                                                      The Department specifically requests                                concerning each proposed collection of                           comments on these topics: (1) Whether
                                                    comments on: (a) Whether the proposed                                 information, including each proposed                             the proposed collection of information
                                                    collection of information is necessary                                extension of an existing collection of                           is necessary for the proper performance
                                                    for the proper performance of the                                     information, and to allow 60 days for                            of FDA’s functions, including whether
                                                    functions of the agency, including                                    public comment in response to the                                the information will have practical
                                                    whether the information shall have                                    notice. This notice solicits comments on                         utility; (2) the accuracy of FDA’s
                                                    practical utility; (b) the accuracy of the                            the information collection entitled                              estimate of the burden of the proposed
                                                    agency’s estimate of the burden of the                                ‘‘Environmental Impact                                           collection of information, including the
                                                    proposed collection of information; (c)                               Considerations.’’                                                validity of the methodology and
                                                    the quality, utility, and clarity of the                                                                                               assumptions used; (3) ways to enhance
                                                                                                                          DATES: Submit either electronic or
                                                    information to be collected; and (d)                                                                                                   the quality, utility, and clarity of the
                                                                                                                          written comments on the collection of
                                                    ways to minimize the burden of the                                                                                                     information to be collected; and (4)
                                                                                                                          information by November 9, 2015.
                                                    collection of information on                                                                                                           ways to minimize the burden of the
                                                                                                                          ADDRESSES: Submit electronic                                     collection of information on
                                                    respondents, including through the use                                comments on the collection of
                                                    of automated collection techniques or                                                                                                  respondents, including through the use
                                                                                                                          information to: http://                                          of automated collection techniques,
                                                    other forms of information technology.                                www.regulations.gov. Submit written
                                                    Consideration will be given to                                                                                                         when appropriate, and other forms of
                                                                                                                          comments on the collection of                                    information technology.
                                                    comments and suggestions submitted                                    information to the Division of Dockets
                                                    within 60 days of this publication.                                   Management (HFA 305), Food and Drug                              Environmental Impact
                                                                                                                          Administration, 5630 Fishers Lane, Rm.                           Considerations—21 CFR Part 25
                                                    Robert Sargis,
                                                                                                                          1061, Rockville, MD 20852. All                                   OMB Control Number 0910–0322
                                                    Reports Clearance Officer.                                            comments should be identified with the
                                                    [FR Doc. 2015–22495 Filed 9–4–15; 8:45 am]                            docket number found in brackets in the                              FDA is requesting OMB approval for
                                                    BILLING CODE 4184–01–P                                                heading of this document.                                        the reporting requirements contained in
                                                                                                                                                                                           the FDA collection of information
                                                                                                                          FOR FURTHER INFORMATION CONTACT: FDA
                                                                                                                                                                                           ‘‘Environmental Impact
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                                          PRA Staff, Office of Operations, Food                            Considerations.’’ The National
                                                                                                                          and Drug Administration, 8455                                    Environmental Policy Act (NEPA) (42
                                                                                                                          Colesville Rd., COLE–14526, Silver                               U.S.C. 4321–4347) states national
                                                                                                                          Spring, MD 20993–0002, PRAStaff@                                 environmental objectives and imposes
                                                                                                                          fda.hhs.gov.                                                     upon each Federal Agency the duty to
                                                                                                                          SUPPLEMENTARY INFORMATION:  Under the                            consider the environmental effects of its
                                                                                                                          PRA (44 U.S.C. 3501–3520), Federal                               actions. Section 102(2)(C) of NEPA
                                                                                                                          Agencies must obtain approval from the                           requires the preparation of an


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Document Created: 2018-02-26 10:13:48
Document Modified: 2018-02-26 10:13:48
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 53805 

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