Proposed Information Collection Activity; Comment Request, 53805-53807 [2015-22495]
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Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices
Estimated Total Annual Burden
Hours: 2,352.
Additional Information: Copies of the
proposed collection may be obtained 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. All requests should be
identified by the title of the information
collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Email: OIRA_
SUBMISSION@OMB.EOP.GOV, Attn:
Desk Officer for the Administration for
Children and Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015–22571 Filed 9–4–15; 8:45 am]
BILLING CODE 4184–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
asabaliauskas on DSK5VPTVN1PROD with NOTICES
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,
VerDate Sep<11>2014
17:18 Sep 04, 2015
Jkt 235001
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
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
53805
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
https://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 reuse tool for UC who have been placed
in Staff Secure Care).
(3) Placement Authorization: Autogenerated. 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-
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08SEN1
53806
Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices
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
respondents
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Instrument
UC Portal Capacity Report ...........................................................................
Further Assessment Swift Track (FAST) Placement Tool ...........................
Placement Authorization Form .....................................................................
Notice of Placement in Secure or Staff Secure Facility ...............................
Initial Intakes Form .......................................................................................
UC Assessment ............................................................................................
Individual Service Plan .................................................................................
UC Case Review Form .................................................................................
New Sponsor Form .......................................................................................
Transfer Request and Tracking Form ..........................................................
Long Term Foster Care Placement Memo ...................................................
Travel Request Form for UC Long Term Foster Care .................................
Notice of Transfer to ICE Chief Counsel and Change of Address ..............
Care Provider Release Checklist ..................................................................
Release Request ..........................................................................................
Discharge Notification ...................................................................................
Verification of Release ..................................................................................
Child Advocate Referral and Appointment Form ..........................................
Notice of Rights Handout and Notice of Rights and Provision of Services
VerDate Sep<11>2014
17:18 Sep 04, 2015
Jkt 235001
PO 00000
Frm 00048
Fmt 4703
Number of
responses per
respondent
50
2,320
58,000
2,320
58,000
58,000
58,000
58,000
55,200
1,000
279
20
2,320
55,200
55,200
716
55,200
250
58,000
Sfmt 4703
E:\FR\FM\08SEN1.SGM
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3
1
1
1
1
Average
burden hours
per response
.16/hour ............
.25/hour ............
.1/hour ..............
.1/hour ..............
.25/hour ............
.50/hour ............
.25 ....................
.50/hour ............
.25/hour ............
.25/hour ............
.1/hour ..............
.25/hour ............
.1/hour ..............
.1 ......................
.25 hour ............
.25/hour ............
.1/hour ..............
.50 ....................
.1/hour ..............
08SEN1
Total burden
hours
8
580
5,800
232
14,500
29,000
14,500
29,000
13,800
250
28
5
232
5,520
41,400
179
5,520
125
5,800
53807
Federal Register / Vol. 80, No. 173 / Tuesday, September 8, 2015 / Notices
ANNUAL BURDEN ESTIMATES—Continued
Number of
respondents
Instrument
Legal Service Provider List for UC ...............................................................
URM Application ...........................................................................................
Withdrawal of Application or Declination of Placement Form ......................
Standard Shelter Tour Request ....................................................................
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]
asabaliauskas on DSK5VPTVN1PROD with NOTICES
BILLING CODE 4184–01–P
Number of
responses per
respondent
58,000
350
10
60
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2012–N–0961]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Environmental
Impact Considerations
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing an
opportunity for public comment on the
proposed collection of certain
information by the Agency. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal Agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This notice solicits comments on
the information collection entitled
‘‘Environmental Impact
Considerations.’’
SUMMARY:
Submit either electronic or
written comments on the collection of
information by November 9, 2015.
ADDRESSES: Submit electronic
comments on the collection of
information to: https://
www.regulations.gov. Submit written
comments on the collection of
information to the Division of Dockets
Management (HFA 305), Food and Drug
Administration, 5630 Fishers Lane, Rm.
1061, Rockville, MD 20852. All
comments should be identified with the
docket number found in brackets in the
heading of this document.
FOR FURTHER INFORMATION CONTACT: FDA
PRA Staff, Office of Operations, Food
and Drug Administration, 8455
Colesville Rd., COLE–14526, Silver
Spring, MD 20993–0002, PRAStaff@
fda.hhs.gov.
DATES:
Under the
PRA (44 U.S.C. 3501–3520), Federal
Agencies must obtain approval from the
SUPPLEMENTARY INFORMATION:
VerDate Sep<11>2014
17:18 Sep 04, 2015
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PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
1
1
1
1
Average
burden hours
per response
Total burden
hours
.1 ......................
1 .......................
.1/hour ..............
.1/hour ..............
5,800
350
1
6
Office of Management and Budget
(OMB) for each collection of
information they conduct or sponsor.
‘‘Collection of information’’ is defined
in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes Agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44
U.S.C. 3506(c)(2)(A)) requires Federal
Agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, FDA is publishing notice
of the proposed collection of
information listed below.
With respect to the following
collection of information, FDA invites
comments on these topics: (1) Whether
the proposed collection of information
is necessary for the proper performance
of FDA’s functions, including whether
the information will have practical
utility; (2) the accuracy of FDA’s
estimate of the burden of the proposed
collection of information, including the
validity of the methodology and
assumptions used; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques,
when appropriate, and other forms of
information technology.
Environmental Impact
Considerations—21 CFR Part 25
OMB Control Number 0910–0322
FDA is requesting OMB approval for
the reporting requirements contained in
the FDA collection of information
‘‘Environmental Impact
Considerations.’’ The National
Environmental Policy Act (NEPA) (42
U.S.C. 4321–4347) states national
environmental objectives and imposes
upon each Federal Agency the duty to
consider the environmental effects of its
actions. Section 102(2)(C) of NEPA
requires the preparation of an
E:\FR\FM\08SEN1.SGM
08SEN1
]]>Agencies
[Federal Register Volume 80, Number 173 (Tuesday, September 8, 2015)]
[Notices]
[Pages 53805-53807]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22495]
-----------------------------------------------------------------------
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 https://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
