80_FR_57374 80 FR 57191 - Proposed Information Collection Activity; Comment Request

80 FR 57191 - Proposed Information Collection Activity; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 80, Issue 183 (September 22, 2015)

Page Range57191-57193
FR Document2015-23978

Federal Register, Volume 80 Issue 183 (Tuesday, September 22, 2015)
[Federal Register Volume 80, Number 183 (Tuesday, September 22, 2015)]
[Notices]
[Pages 57191-57193]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-23978]


-----------------------------------------------------------------------

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

[[Page 57192]]

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-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.

[[Page 57193]]

    (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
                                            Number of     responses    Average burden hours per    Total burden
               Instrument                  respondents       per               response                hours
                                                          respondent
----------------------------------------------------------------------------------------------------------------
UC Portal Capacity Report..............              50            1  .16/hour..................               8
Further Assessment Swift Track (FAST)             2,320            1  .25/hour..................             580
 Placement Tool.
Placement Authorization Form...........          58,000            1  .1/hour...................           5,800
Notice of Placement in Secure or Staff            2,320            1  .1/hour...................             232
 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 Memo...             279            1  .1/hour...................              28
Travel Request Form for UC Long Term                 20            1  .25/hour..................               5
 Foster Care.
Notice of Transfer to ICE Chief Counsel           2,320            1  .1/hour...................             232
 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 Appointment             250            1  .50.......................             125
 Form.
Notice of Rights Handout and Notice of           58,000            1  .1/hour...................           5,800
 Rights and Provision of Services.
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: [email protected]. 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. 2015-23978 Filed 9-21-15; 8:45 am]
BILLING CODE 4184-01-P



                                                                            Federal Register / Vol. 80, No. 183 / Tuesday, September 22, 2015 / Notices                                                57191

                                                                                                            ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                     Average
                                                                                                                                                                                     Number of
                                                                                                                                                                 Number of                         burden per
                                                              Type of respondents                                            Form name                                             responses per
                                                                                                                                                                respondents                         response
                                                                                                                                                                                     respondent      (in hrs.)

                                              State Epidemiologists .....................................   Harmful Algal Bloom Illness Surveillance                         57                3           20/60
                                                                                                              System (HABISS) data elements (elec-
                                                                                                              tronic, year-round).



                                              Leroy A. Richardson,                                              Description: The National Domestic               part of the Accomplishments of the
                                              Chief, Information Collection Review Office,                   Violence Hotline (NDVH) and the                     Domestic Violence Hotline, Online
                                              Office of Scientific Integrity, Office of the                  National Dating Abuse Helpline or                   Connections and Text (ADVHOCaT)
                                              Associate Director for Science, Office of the                  loveisrespect (NDAH/LIR), which are                 Study.
                                              Director, Centers for Disease Control and                      supported by the Family Violence
                                              Prevention.
                                                                                                                                                                   This study will primarily analyze data
                                                                                                             Prevention and Services Act Program                 previously collected by the NDVH and
                                              [FR Doc. 2015–24029 Filed 9–21–15; 8:45 am]                    (FVPSA Program) within the Family and               NDAH/LIR as part of their ongoing
                                              BILLING CODE 4163–18–P                                         Youth Services Bureau (FYSB) of the                 program activities and monitoring. ACF
                                                                                                             Administration for Children and                     proposes to collect additional
                                                                                                             Families (ACF), U.S. Department of                  information, including information
                                              DEPARTMENT OF HEALTH AND                                       Health and Human Services (HHS),                    about the preferred mode (phone, chat,
                                              HUMAN SERVICES                                                 serve as partners in the intervention,              text), ease of use, and perceived privacy
                                                                                                             prevention, and resource assistance                 and safety of each mode of contact.
                                              Administration for Children and                                efforts of the network of family violence,
                                              Families                                                       domestic violence, and dating violence                This data is to be collected through
                                                                                                             service providers.                                  voluntary web-based surveys that are to
                                              Submission for OMB Review;                                        In order to describe the activities and          be completed by those who access the
                                              Comment Request                                                accomplishments of the NDVH and                     NDVH and NDAH/LIR Web sites. This
                                                                                                             NDAH/LIR and develop potential new                  information will be critical to informing
                                                Title: Accomplishments of the                                or revised performance measures, the                future efforts to monitor and improve
                                              Domestic Violence Hotline, Online                              Office of Planning, Research and                    the performance of domestic violence
                                              Connections and Text (ADVHOCaT)                                Evaluation (OPRE) and FYSB’s FVPSA                  hotlines and provide hotline services.
                                              Study.                                                         Program, within ACF/HHS are                           Respondents: Individuals who access
                                                OMB No.: New Collection.                                     proposing data collection activity as               the NDVH and NDAH/LIR Web sites.

                                                                                                                   ANNUAL BURDEN ESTIMATES
                                                                                                                  Number of
                                                                                                Total/annual       responses
                                                               Instrument                        number of                        Average burden hours per response                  Annual burden hours
                                                                                                                      per
                                                                                                respondents       respondent

                                              NDVH/LIR Preference of Use Sur-                        5,000              1        0.041 hours (150 seconds) ...............   205 hours.
                                               vey.



                                                Estimated Total Annual Burden                                proposed information collection should              DEPARTMENT OF HEALTH AND
                                              Hours: 205 hours.                                              be sent directly to the following:                  HUMAN SERVICES
                                                Additional Information: Copies of the                          Office of Management and Budget
                                              proposed collection may be obtained by                                                                             Administration for Children and
                                                                                                               Paperwork Reduction Project
                                              writing to the Administration for                                                                                  Families
                                                                                                               Email: OIRA_SUBMISSION@
                                              Children and Families, Office of                               OMB.EOP.GOV
                                              Planning, Research and Evaluation, 370                                                                             Proposed Information Collection
                                                                                                               Attn: Desk Officer for the Administration         Activity; Comment Request
                                              L’Enfant Promenade SW., Washington,                            for Children and Families
                                              DC 20447, Attn: OPRE Reports                                                                                         Proposed Projects: ORR,
                                              Clearance Officer. All requests should                         Robert Sargis,                                      Unaccompanied Children’s Program,
                                              be identified by the title of the                              ACF Reports Clearance Officer.                      Division of Children’s Services (DCS).
                                              information collection. Email address:                         [FR Doc. 2015–23967 Filed 9–21–15; 8:45 am]           Title: Information Collection and
                                              OPREinfocollection@acf.hhs.gov.                                BILLING CODE 4184–32–P                              Record Keeping for the Timely
                                                OMB Comment: OMB is required to                                                                                  Placement and Release of
                                              make a decision concerning the                                                                                     Unaccompanied Children (UC) in ORR
tkelley on DSK3SPTVN1PROD with NOTICES




                                              collection of information between 30                                                                               Care
                                              and 60 days after publication of this                                                                                OMB No.:
                                              document in the Federal Register.                                                                                    Description: On March 1, 2003, the
                                              Therefore, a comment is best assured of                                                                            Homeland Security Act of 2002, Section
                                              having its full effect if OMB receives it                                                                          462, transferred responsibilities for the
                                              within 30 days of publication. Written                                                                             care and placement of unaccompanied
                                              comments and recommendations for the                                                                               children from the Commissioner of the


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                                              57192                     Federal Register / Vol. 80, No. 183 / Tuesday, September 22, 2015 / Notices

                                              Immigration and Naturalization Service                  points are completed (such as DOB, A                  to self and others, medical conditions, mental
                                              to the Director of the Office of Refugee                number, date of initial placement).                   health concerns.
                                              Resettlement (ORR). ORR is also                           The data collection described here                     (6) UC Assessment: Care provider must
                                                                                                      pertains to activities involving UC and               complete within 7 days of UC’s admission,
                                              governed by the provisions established
                                                                                                                                                            covers biographic, family, legal, migration,
                                              by the Flores Agreement in 1997 and the                 care providers from initial intakes of UC             medical, substance abuse, and mental health
                                              William Wilberforce Trafficking Victims                 into ORR care to his or her release from              history.
                                              Protection Reauthorization Act (TVPRA)                  ORR care. It does not cover information                  (7) Individual Service Plan: Documents the
                                              of 2008.                                                collection for potential sponsors                     services that have been provided (for
                                                The ORR Unaccompanied Children’s                      (Submitted via separate OMB request in                example, number of counseling sessions,
                                              Program provides placement, care,                       January 2015.)                                        educational assessment and classes) and is
                                              custody and services for UC until they                    ORR has applied the following                       updated every 30 days. When a child is
                                              can be successfully released to a                       assumptions to this request:                          transferred to a new facility, a new ISP is
                                                                                                                                                            developed.
                                              sponsor, are repatriated to their home                     (1) Items related to tasks that are routine           (8) UC Case Review Form: Documents any
                                              country, or able to obtain legal status.                and customary for care providers and others           new information not indicated in the UC
                                                Through cooperative agreements and                    are excluded. This includes quarterly or              Assessment.
                                              contracts, ORR funds residential care                   annual financial or other reports, grant                 (9) New Sponsor Form: Identifies any
                                              providers that provide temporary                        related requests from ORR Project Officers or         potential sponsor(s) for a particular UC. In
                                              housing and other services to                           others for monitoring performance and                 addition to serving as a record for a particular
                                              unaccompanied children in ORR                           progress, and third party notifications to            case, helps ORR track individuals who are
                                                                                                      other government agencies, such as U.S.               attempting to sponsor numerous UC, which
                                              custody. These care provider facilities                 Department of Homeland Security (DHS) or
                                              are State licensed and must meet ORR                                                                          may suggest a possible trafficking or abuse
                                                                                                      U.S. Department of Justice (DOJ). (For                situation.
                                              requirements to ensure a high level                     financial and other reports, Care Providers              (10) Transfer Request and Tracking Form:
                                              quality of care. They provide a                         use templates posted on http://                       Auto-populated and used to obtain ORR
                                              continuum of care for children,                         www.acf.hhs.gov/grants/grants_                        permission for transfer to another care
                                              including placements in ORR foster                      resources.html#reporting)                             facility. (Filled out by both ORR and care
                                              care, group homes, shelter, staff secure,                  (2) Data collection and reporting                  providers) and used to document when a UC
                                              secure, and residential treatment                       requirements do not reflect those required by         is transferred from one facility to another
                                                                                                      State or local licensing or accreditation             (requires signatures of both facilities).
                                              centers. The care providers provide
                                                                                                      requirements.                                            (11) Long Term Foster Care Placement
                                              children with classroom education,                         (3) Acknowledgement of receipt of
                                              health care, socialization/recreation,                                                                        Memo: When ORR identifies a placement of
                                                                                                      information or other acknowledgements via             a UC with a long term foster care facility, the
                                              vocational training, mental health                      signature by either the UC or the care                long term foster care provider or national
                                              services, access to legal services, and                 provider or others are not included in this           VOLAG receiving the transfer request
                                              case management.                                        information request as these are                      completes the memo and sends to ORR to
                                                Under the law, ORR and its care                       administrative in nature in order to help care        ensure continuity of services and tracking of
                                              providers are required to:                              providers and UC track personal belongings,
                                                                                                                                                            records for a UC.
                                                                                                      DHS related documents, medical records,
                                                 (1) Collect information about each UC who                                                                     (12) Travel Request form for UC Long Term
                                                                                                      and other important items required by the UC
                                              is entrusted to the care of ORR in order to                                                                   Foster Care: Must be filled out by program at
                                                                                                      following release from ORR care.
                                              determine the most appropriate and least                                                                      least 10 days prior to travel start date.
                                                                                                        The components of this information                     (13) Notice of Transfer to ICE Chief
                                              restrictive placement, provide adequate
                                              services, and identify qualified sponsors for
                                                                                                      request include:                                      Counsel and Change of Address: Required so
                                              the timely release of the child or youth. ORR             (1) UC Portal Capacity Report: Care                 that the Chief Counsel of ICE may file a
                                              has developed instruments to assess the child           providers complete the sections on ‘‘In Care’’        Motion for Change of Venue and/or Change
                                              or youth and his or her needs and conditions            and ‘‘Beds in Reserve’’ as well as the section        of Address with the Executive Office for
                                              throughout his or her stay with ORR as well             recording the UC who have been discharged             Immigration Review (EOIR), if applicable, to
                                              as the identification and assessment of                 on a daily basis so that ORR Intakes has a            ensure immigration hearing may proceed.
                                              potential sponsors. These instruments allow             complete picture of available beds for UC                (14) Care Provider Release Checklist: Care
                                              for consistency and compliance of standards             placements.                                           providers must complete and affirm that all
                                              across care providers and help ORR monitor                (2) The Further Assessment Swift Track              documents, forms, and steps are completed
                                              programs and identify problems and issues               (FAST) Placement Tool (Versions for Secure            in the release process.
                                              that need corrective action.                            and Staff Secure placements): Initially used             (15) Release Request: Provides care
                                                 (2) Keep up-to-date records to ensure the            by ORR Intakes to determine when a UC                 provider recommendation for release of a UC
                                              child or youth’s safety and security and care           warrants a placement in Secure or Staff               to a sponsor. All releases must be approved
                                              and to provide accountability with all                  Secure Care. Care providers must use the tool         by ORR prior to UC release.
                                              Federal and State, licensing, and other                 to update a status for UC who are placed in              (16) Discharge Notification: Includes date
                                              standards by care providers.                            Secure Care at least every 30 days. (Care             and type of discharge (transfer, home
                                                 (3) Notify UC of their rights and                    providers are not required to re-use tool for         country, sponsor release) and is sent to ICE.
                                              responsibilities under the law, including               UC who have been placed in Staff Secure                  (17) Verification of Release: Signed by
                                              notice about ORR services, the fact that that           Care).                                                sponsor as notification that named UC has
                                              they have the right to apply for Special                  (3) Placement Authorization: Auto-                  been released according to the law. Sponsor
                                              Immigrant Juvenile (SIJ) status, and their              generated. Requires a signature from the care         must also acknowledge agreement with the
                                              legal responsibility to attend an immigration           provider acknowledging a particular UC                provisions of the Sponsor Care Agreement
                                              hearing.                                                placement into their facility.                        pertaining to the minor’s care, safety, and
                                                 These tasks are mainly conducted                       (4) Notice of Placement in Secure or Staff          well-being, and the sponsor’s responsibility
                                              through the ORR online database (The                    Secure Facility: Acknowledges UC’s                    for ensuring the minor’s presence at all future
                                                                                                      placement in a secure or staff secure care            proceedings before the Department of
tkelley on DSK3SPTVN1PROD with NOTICES




                                              UC Portal), which provides a central
                                                                                                      provider facility with signature of UC and            Homeland Security and EOIR.
                                              location for case records and the
                                                                                                      facility witness.                                        (18) Child Advocate Referral and
                                              documentation of other activities (for                    (5) Initial Intakes Assessment: Biographical        Appointment Form: Used by the Child
                                              example, when a child or youth is                       information is auto-populated for care                Advocate Program to recommend that ORR
                                              transferred to another facility). Many of               providers based on ORR information                    appoint an independent child advocate for a
                                              these records are ‘‘auto-populated’’ on                 obtained at Intakes. Screens for trafficking or       victim of child trafficking or in other cases
                                              the UC Portal once the original data                    other safety concerns, special needs, danger          involving vulnerable children.



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                                                                               Federal Register / Vol. 80, No. 183 / Tuesday, September 22, 2015 / Notices                                                                         57193

                                                (19) Notice of Rights Handout and Notice                           instances the care provider facility or other             Respondents
                                              of Rights and Provision of Services: Care                            interested party may complete this
                                              providers are required to provide to all UC                          application form on behalf of the child.                     UC in ORR care and custody (they are
                                              under the Flores v. Reno Settlement                                    (22) Withdrawal of Application or                       generally referred to ORR from the DHS)
                                              Agreement.                                                           Declination of Placement Form: If a youth                 and who are then referred to ORR’s
                                                (20) Legal Service Provider List for UC: List                      who has submitted an application for the
                                              of organizations who offer free legal                                                                                          Network of Care Providers.
                                                                                                                   URM Program wishes to withdraw this
                                              representation and help for UC with State                                                                                         Staff in ORR’s Care Provider Network,
                                              and Federal courts, immigration hearings,                            application, or if he or she has been offered
                                                                                                                   placement and wishes to decline this                      including those in shelter care, secure
                                              and appeals. Required under the Flores
                                                                                                                   placement, the youth must complete this                   and staff secure care, foster care, and
                                              Settlement Agreement.
                                                (21) URM Application: Certain populations                          form.                                                     residential treatment centers.
                                              of children and youth in ORR custody may                               (23) Standard Shelter Tour Request: Used                   Approved sponsors of UC released
                                              become eligible for the Unaccompanied                                by members of the public and the media to                 from ORR care.
                                              Refugee Minors Program, which is a State                             submit to care providers in order to tour a
                                              administered foster care program. In such                            shelter facility.

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

                                              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
                                              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 Ad-                                       2,320                 1   .1/hour ........................................               232
                                                 dress.
                                              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 Provi-                                       58,000                 1   .1/hour ........................................             5,800
                                                 sion of Services.
                                              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                                        The Department specifically requests                    comments and suggestions submitted
                                              Hours: 172,636.                                                      comments on: (a) Whether the proposed                     within 60 days of this publication.
                                                In compliance with the requirements                                collection of information is necessary
                                                                                                                                                                             Robert Sargis,
                                              of Section 506(c)(2)(A) of the Paperwork                             for the proper performance of the
                                                                                                                   functions of the agency, including                        Reports Clearance Officer.
                                              Reduction Act of 1995, the
                                                                                                                   whether the information shall have                        [FR Doc. 2015–23978 Filed 9–21–15; 8:45 am]
                                              Administration for Children and
                                              Families is soliciting public comment                                practical utility; (b) the accuracy of the                BILLING CODE 4184–01–P

                                              on the specific aspects of the                                       agency’s estimate of the burden of the
                                              information collection described above.                              proposed collection of information; (c)
                                                                                                                   the quality, utility, and clarity of the                  DEPARTMENT OF HEALTH AND
                                              Copies of the proposed collection of                                                                                           HUMAN SERVICES
                                              information can be obtained and                                      information to be collected; and (d)
                                              comments may be forwarded by writing                                 ways to minimize the burden of the
                                                                                                                                                                             Administration for Community Living
                                              to the Administration for Children and                               collection of information on
                                              Families, Office of Planning, Research                               respondents, including through the use                    Agency Information Collection
                                              and Evaluation, 370 L’Enfant                                         of automated collection techniques or                     Activities; Proposed Collection;
tkelley on DSK3SPTVN1PROD with NOTICES




                                              Promenade SW., Washington, DC 20447,                                 other forms of information technology.                    Comment Request; Generic Clearance
                                              Attn: ACF Reports Clearance Officer.                                 Consideration will be given to                            for the Collection of Qualitative
                                              Email address: infocollection@                                                                                                 Feedback on Agency Service Delivery
                                              acf.hhs.gov. All requests should be
                                              identified by the title of the information                                                                                     AGENCY:  Administration for Community
                                              collection.                                                                                                                    Living, HHS.



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Document Created: 2015-12-15 09:35:31
Document Modified: 2015-12-15 09:35:31
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 57191 

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