82 FR 28489 - Proposed Information Collection Activity; Comment Request; Medical Complaint Form, Contact Investigation Form: Non-TB Illness, and Contact Investigation Form: Active/Suspect TB
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families Federal Register Volume 82, Issue 119 (June 22, 2017)
Administration for Children and Families
Federal Register Volume 82, Issue 119 (June 22, 2017)
| Page Range | 28489-28490 | |
| FR Document | 2017-13013 |
[Federal Register Volume 82, Number 119 (Thursday, June 22, 2017)] [Notices] [Pages 28489-28490] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-13013] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [OMB No.: New] Proposed Information Collection Activity; Comment Request; Medical Complaint Form, Contact Investigation Form: Non-TB Illness, and Contact Investigation Form: Active/Suspect TB Description: The Administration for Children and Families' Office of Refugee Resettlement (ORR) places unaccompanied minors in their custody in licensed care provider facilities until reunification with a qualified sponsor. Care provider facilities are required to provide children with services such as classroom education, mental health services, and health care. Pursuant to Exhibit 1, part A.2 of the Flores Settlement Agreement (Jenny Lisette Flores, et al., v. Janet Reno, Attorney General of the United States, et al., Case No. CV 85- 4544-RJK (C.D. Cal. 1996), care provider facilities, on behalf of ORR, shall arrange for appropriate routine medical and dental care, family planning services, and emergency health care services, including a complete medical examination (including screening for infectious disease) within 48 hours of admission, excluding weekends and holidays, unless the minor was recently examined at another facility; appropriate immunizations in accordance with the U.S. Public Health Service (PHS), Center for Disease Control; administration of prescribed medication and special diets; appropriate mental health interventions when necessary for each minor in their care. The forms are to be used as worksheets for healthcare providers and health departments to compile information that would otherwise have been collected during a medical evaluation. Once completed, the forms will be given to care provider program staff for data entry into ORR's electronic data repository known as `The UAC Portal'. Data will be used to record UC health conditions/illnesses and for case management of any identified illnesses/conditions. Respondents: Office of Refugee Resettlement Grantee staff. Annual Burden ---------------------------------------------------------------------------------------------------------------- Number of Average burden Instrument Number of responses per hours per Total burden respondents respondent response hours ---------------------------------------------------------------------------------------------------------------- Medical Complaint Form.......................... 120 2,507 .13 39,109 Contact Investigation Form: Non-TB Illness...... 120 4 .08 38 Contact Investigation Form: Suspect or Active TB 120 2 .08 19 ---------------------------------------------------------------------------------------------------------------- Estimated Total Annual Burden Hours: 39,166. In compliance with the requirements of the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. Chap 35), 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, 330 C Street SW., Washington DC 20201. 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. [[Page 28490]] Consideration will be given to comments and suggestions submitted within 60 days of this publication. Robert Sargis, Reports Clearance Officer. [FR Doc. 2017-13013 Filed 6-21-17; 8:45 am] BILLING CODE 4184-01-P
![Federal Register / Vol. 82, No. 119 / Thursday, June 22, 2017 / Notices 28489
and associated materials (see accompanying instructions to facilitate in licensed care provider facilities until
ADDRESSES). the completion and data entry of the reunification with a qualified sponsor.
form. However, we added the collection Care provider facilities are required to
CMS–116 Clinical Laboratory
of identifying the non-waived testing to provide children with services such as
Improvement Amendments (CLIA)
be performed to section VIII of the form. classroom education, mental health
Application Form and Supporting
Regulations We anticipate that the change to section services, and health care. Pursuant to
VIII will take an average of 15 additional Exhibit 1, part A.2 of the Flores
Under the PRA (44 U.S.C. 3501– minutes to complete. Form Number: Settlement Agreement (Jenny Lisette
3520), federal agencies must obtain CMS–116 (OMB Control Number: 0938– Flores, et al., v. Janet Reno, Attorney
approval from the Office of Management 0581); Frequency: Biennially and General of the United States, et al., Case
and Budget (OMB) for each collection of Occasionally; Affected Public: Private No. CV 85–4544–RJK (C.D. Cal. 1996),
information they conduct or sponsor. Sector—Business or other for-profits care provider facilities, on behalf of
The term ‘‘collection of information’’ is and Not-for-profit institutions; Number ORR, shall arrange for appropriate
defined in 44 U.S.C. 3502(3) and 5 CFR of Respondents: 42,000; Total Annual routine medical and dental care, family
1320.3(c) and includes agency requests Responses: 51,000; Total Annual Hours: planning services, and emergency
or requirements that members of the 51,000. (For policy questions regarding health care services, including a
public submit reports, keep records, or this collection contact Kathleen Todd at complete medical examination
provide information to a third party. 410–786–3385.) (including screening for infectious
Section 3506(c)(2)(A) of the PRA disease) within 48 hours of admission,
requires federal agencies to publish a Dated: June 19, 2017.
William N. Parham, III,
excluding weekends and holidays,
60-day notice in the Federal Register unless the minor was recently examined
concerning each proposed collection of Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
at another facility; appropriate
information, including each proposed immunizations in accordance with the
extension or reinstatement of an existing Affairs.
[FR Doc. 2017–13070 Filed 6–21–17; 8:45 am]
U.S. Public Health Service (PHS), Center
collection of information, before for Disease Control; administration of
submitting the collection to OMB for BILLING CODE 4120–01–P
prescribed medication and special diets;
approval. To comply with this appropriate mental health interventions
requirement, CMS is publishing this when necessary for each minor in their
notice. DEPARTMENT OF HEALTH AND
HUMAN SERVICES care.
Information Collection The forms are to be used as
1. Type of Information Collection Administration for Children and worksheets for healthcare providers and
Request: Revision of a currently Families health departments to compile
approved collection; Title of information that would otherwise have
[OMB No.: New] been collected during a medical
Information Collection: Clinical
Laboratory Improvement Amendments evaluation. Once completed, the forms
Proposed Information Collection will be given to care provider program
(CLIA) Application Form and Activity; Comment Request; Medical
Supporting Regulations; Use: The staff for data entry into ORR’s electronic
Complaint Form, Contact Investigation data repository known as ‘The UAC
application must be completed by Form: Non-TB Illness, and Contact
entities performing laboratory’s testing Portal’. Data will be used to record UC
Investigation Form: Active/Suspect TB health conditions/illnesses and for case
specimens for diagnostic or treatment
purposes. This information is vital to Description: The Administration for management of any identified illnesses/
the certification process. In this Children and Families’ Office of Refugee conditions.
revision, the majority of changes were Resettlement (ORR) places Respondents: Office of Refugee
minor changes to the form and unaccompanied minors in their custody Resettlement Grantee staff.
ANNUAL BURDEN
Number of Average
Number of Total
Instrument responses per burden hours
respondents burden hours
respondent per response
Medical Complaint Form .................................................................................. 120 2,507 .13 39,109
Contact Investigation Form: Non-TB Illness .................................................... 120 4 .08 38
Contact Investigation Form: Suspect or Active TB ......................................... 120 2 .08 19
Estimated Total Annual Burden to the Administration for Children and functions of the agency, including
Hours: 39,166. Families, Office of Planning, Research whether the information shall have
In compliance with the requirements and Evaluation, 330 C Street SW., practical utility; (b) the accuracy of the
of the Paperwork Reduction Act of 1995 Washington DC 20201. Attn: ACF agency’s estimate of the burden of the
(Pub. L. 104–13, 44 U.S.C. Chap 35), the Reports Clearance Officer. Email proposed collection of information; (c)
sradovich on DSK3GMQ082PROD with NOTICES
Administration for Children and address: infocollection@acf.hhs.gov. All the quality, utility, and clarity of the
Families is soliciting public comment requests should be identified by the title information to be collected; and (d)
on the specific aspects of the of the information collection. ways to minimize the burden of the
information collection described above. The Department specifically requests collection of information on
Copies of the proposed collection of comments on: (a) Whether the proposed respondents, including through the use
information can be obtained and collection of information is necessary of automated collection techniques or
comments may be forwarded by writing for the proper performance of the other forms of information technology.
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![28490 Federal Register / Vol. 82, No. 119 / Thursday, June 22, 2017 / Notices
Consideration will be given to Management Information System (RHY– the runaway and homeless youth, and
comments and suggestions submitted HMIS) youth at risk of family separation, who
within 60 days of this publication. Description: The Runaway and participate in the project, and the
Homeless Youth (RHY) Act, as amended services provided to such youth by the
Robert Sargis,
by Public Law 106–71 (42 U.S.C. 5701 project.
Reports Clearance Officer.
et seq.), mandates that the Department
[FR Doc. 2017–13013 Filed 6–21–17; 8:45 am] Respondents: The respondents are the
of Health and Human Services (HHS)
BILLING CODE 4184–01–P youth who are recipients of services
report regularly to Congress on the
status of HHS-funded programs serving from RHY program grants, which are
runaway and homeless youth. Such made up of States, localities, private
DEPARTMENT OF HEALTH AND entities and coordinated networks of
reporting is similarly mandated by the
HUMAN SERVICES such entities. Typical respondents are
Government Performance and Results
Act Modernization Act of 2010. the youth that participate in the Basic
Administration for Children and
Organizations funded under the Center, Transitional Living/Maternity
Families
Runaway and Homeless Youth program Group Home, and Street Outreach
[OMB No.: 0970–0123] are required by statute (42 U.S.C. 5712, programs.
42 U.S.C. 5714–2) to meet certain data
Proposed Information Collection
collection and reporting requirements.
Activity; Comment Request
These requirements include
Proposed Projects: Runaway and maintenance of client statistical records
Homeless Youth—Homeless on the number and the characteristics of
ANNUAL BURDEN ESTIMATES
Number of Average
Number of Total
Instrument responses per burden hours
respondents burden hours
respondent per response
RHY–HMIS: Basic Center Program (Intake) ................................................... 41,000 1 0.38 15,580
RHY–HMIS: Basic Center Program (Exit) ....................................................... 36,900 1 0.26 9,594
RHY–HMIS: Transitional Living Program (including Maternity Group Home
program and TLP Demonstration Programs; Intake) ................................... 6,000 1 0.38 2,280
RHY–HMIS: Transitional Living Program (including Maternity Group Home
program and TLP Demonstration Programs; Exit) ...................................... 5,400 1 0.26 1,404
RHY–HMIS: Street Outreach Program (Contact) ............................................ 36,000 1 0.22 7,920
RHY–HMIS: Street Outreach Program (Engagement) .................................... 14,400 1 0.28 4,032
Estimated Total Annual Burden ways to minimize the burden of the IV, Sec. 414 of the Act], including
Hours: 40,810. collection of information on Refugee Cash and Medical Assistance,
In compliance with the requirements respondents, including through the use Unaccompanied Minor Refugee
of Section 506(c)(2)(A) of the Paperwork of automated collection techniques or Program, Refugee Social Services, and
Reduction Act of 1995, the Family and other forms of information technology. Targeted Assistance program funding.
Youth Services Bureau within the Consideration will be given to The State Plan is a comprehensive
Administration for Children and comments and suggestions submitted narrative description of the nature and
Families is soliciting public comment within 60 days of this publication. scope of a States programs and provides
on the specific aspects of the assurances that the programs will be
information collection described above. Robert Sargis,
administered in conformity with the
Copies of the proposed collection of Reports Clearance Officer.
specific requirements stipulated in 45
information can be obtained and [FR Doc. 2017–13017 Filed 6–21–17; 8:45 am]
CFR 400.4–400.9. The State Plan must
comments may be forwarded by writing BILLING CODE 4184–01–P
include all applicable State procedures,
to the Administration for Children and designations, and certifications for each
Families, Family and Youth Services requirement as well as supporting
Bureau, Switzer Building 330 C Street DEPARTMENT OF HEALTH AND
documentation.
SW., Washington, DC 20201, Attn: ACF HUMAN SERVICES
Reports Clearance Officer. Email The plan assures ORR that the State
address: infocollection@acf.hhs.gov. All Administration for Children and is capable of administering refugee
requests should be identified by the title Families assistance and coordinating
of the information collection. employment and other social services
The Department specifically requests Proposed Information Collection for eligible caseloads in conformity with
comments on: (a) Whether the proposed Activity; Comment Request specific requirements. ORR proposes
collection of information is necessary Title: State Plan for Grants to States organizational and formatting changes
to make the checklist more accessible to
sradovich on DSK3GMQ082PROD with NOTICES
for the proper performance of the for Refugee Resettlement.
functions of the agency, including OMB No.: 0970–0351. the user. Additionally, ORR proposes
whether the information shall have Description: A State Plan is required streamlining language to make the
practical utility; (b) the accuracy of the by 8 U.S.C. 1522 of the Immigration and checklist easier to read. These proposed
agency’s estimate of the burden of the Nationality Act (the Act) [Title IV, Sec. changes include technical corrections to
proposed collection of information; (c) 412 of the Act] for each State agency regulatory citations. ORR proposes
the quality, utility, and clarity of the requesting Federal funding for refugee removing a number of requirements,
information to be collected; and (d) resettlement under 8 U.S.C. 524 [Title including an assurance regarding the
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Document Created: 2017-06-21 23:55:28
Document Modified: 2017-06-21 23:55:28
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 82 FR 28489 |
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