Proposed Information Collection Activity; Comment Request, 57191-57193 [2015-23978]
Download as PDF
57191
Federal Register / Vol. 80, No. 183 / Tuesday, September 22, 2015 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondents
Form name
State Epidemiologists .....................................
Harmful Algal Bloom Illness Surveillance
System (HABISS) data elements (electronic, year-round).
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2015–24029 Filed 9–21–15; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Accomplishments of the
Domestic Violence Hotline, Online
Connections and Text (ADVHOCaT)
Study.
OMB No.: New Collection.
Description: The National Domestic
Violence Hotline (NDVH) and the
National Dating Abuse Helpline or
loveisrespect (NDAH/LIR), which are
supported by the Family Violence
Prevention and Services Act Program
(FVPSA Program) within the Family and
Youth Services Bureau (FYSB) of the
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS),
serve as partners in the intervention,
prevention, and resource assistance
efforts of the network of family violence,
domestic violence, and dating violence
service providers.
In order to describe the activities and
accomplishments of the NDVH and
NDAH/LIR and develop potential new
or revised performance measures, the
Office of Planning, Research and
Evaluation (OPRE) and FYSB’s FVPSA
Program, within ACF/HHS are
proposing data collection activity as
Number of
responses per
respondent
57
Average
burden per
response
(in hrs.)
3
20/60
part of the Accomplishments of the
Domestic Violence Hotline, Online
Connections and Text (ADVHOCaT)
Study.
This study will primarily analyze data
previously collected by the NDVH and
NDAH/LIR as part of their ongoing
program activities and monitoring. ACF
proposes to collect additional
information, including information
about the preferred mode (phone, chat,
text), ease of use, and perceived privacy
and safety of each mode of contact.
This data is to be collected through
voluntary web-based surveys that are to
be completed by those who access the
NDVH and NDAH/LIR Web sites. This
information will be critical to informing
future efforts to monitor and improve
the performance of domestic violence
hotlines and provide hotline services.
Respondents: Individuals who access
the NDVH and NDAH/LIR Web sites.
ANNUAL BURDEN ESTIMATES
Total/annual
number of
respondents
Number of
responses
per
respondent
Average burden hours per response
NDVH/LIR Preference of Use Survey.
tkelley on DSK3SPTVN1PROD with NOTICES
Instrument
5,000
1
0.041 hours (150 seconds) ...............
Estimated Total Annual Burden
Hours: 205 hours.
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: OPRE Reports
Clearance Officer. All requests should
be identified by the title of the
information collection. Email address:
OPREinfocollection@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
VerDate Sep<11>2014
17:39 Sep 21, 2015
Jkt 235001
Annual burden hours
205 hours.
proposed information collection should
be sent directly to the following:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of Management and Budget
Paperwork Reduction Project
Email: OIRA_SUBMISSION@
OMB.EOP.GOV
Attn: Desk Officer for the Administration
for Children and Families
Administration for Children and
Families
Robert Sargis,
ACF Reports Clearance Officer.
[FR Doc. 2015–23967 Filed 9–21–15; 8:45 am]
BILLING CODE 4184–32–P
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
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
E:\FR\FM\22SEN1.SGM
22SEN1
57192
Federal Register / Vol. 80, No. 183 / Tuesday, September 22, 2015 / Notices
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:
tkelley on DSK3SPTVN1PROD with NOTICES
(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
VerDate Sep<11>2014
17:39 Sep 21, 2015
Jkt 235001
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: 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-populated for care
providers based on ORR information
obtained at Intakes. Screens for trafficking or
other safety concerns, special needs, danger
PO 00000
Frm 00048
Fmt 4703
Sfmt 4703
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.
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Federal Register / Vol. 80, No. 183 / Tuesday, September 22, 2015 / Notices
(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.
57193
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
Instrument
tkelley on DSK3SPTVN1PROD with NOTICES
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.
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.
VerDate Sep<11>2014
17:39 Sep 21, 2015
Jkt 235001
Number of
responses
per
respondent
Average burden hours per
response
50
2,320
58,000
2,320
58,000
58,000
58,000
58,000
55,200
1,000
279
20
2,320
1
1
1
1
1
1
1
1
1
1
1
1
1
.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 ........................................
8
580
5,800
232
14,500
29,000
14,500
29,000
13,800
250
28
5
232
55,200
55,200
716
55,200
250
58,000
1
3
1
1
1
1
.1 ................................................
.25 hour ......................................
.25/hour ......................................
.1/hour ........................................
.50 ..............................................
.1/hour ........................................
5,520
41,400
179
5,520
125
5,800
58,000
350
10
60
1
1
1
1
.1 ................................................
1 .................................................
.1/hour ........................................
.1/hour ........................................
5,800
350
1
6
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
PO 00000
Total burden
hours
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
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Generic Clearance
for the Collection of Qualitative
Feedback on Agency Service Delivery
Administration for Community
Living, HHS.
AGENCY:
Frm 00049
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E:\FR\FM\22SEN1.SGM
22SEN1
Agencies
[Federal Register Volume 80, Number 183 (Tuesday, September 22, 2015)]
[Notices]
[Pages 57191-57193]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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 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-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: 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. 2015-23978 Filed 9-21-15; 8:45 am]
BILLING CODE 4184-01-P