Proposed Information Collection Activity; Comment Request; Medical Complaint Form, Contact Investigation Form: Non-TB Illness, and Contact Investigation Form: Active/Suspect TB, 28489-28490 [2017-13013]

Download as PDF 28489 Federal Register / Vol. 82, No. 119 / Thursday, June 22, 2017 / Notices and associated materials (see ADDRESSES). CMS–116 Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations Under the PRA (44 U.S.C. 3501– 3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term ‘‘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 requires federal agencies to publish a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice. Information Collection 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations; Use: The application must be completed by entities performing laboratory’s testing specimens for diagnostic or treatment purposes. This information is vital to the certification process. In this revision, the majority of changes were minor changes to the form and accompanying instructions to facilitate the completion and data entry of the form. However, we added the collection of identifying the non-waived testing to be performed to section VIII of the form. We anticipate that the change to section VIII will take an average of 15 additional minutes to complete. Form Number: CMS–116 (OMB Control Number: 0938– 0581); Frequency: Biennially and Occasionally; Affected Public: Private Sector—Business or other for-profits and Not-for-profit institutions; Number of Respondents: 42,000; Total Annual Responses: 51,000; Total Annual Hours: 51,000. (For policy questions regarding this collection contact Kathleen Todd at 410–786–3385.) Dated: June 19, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017–13070 Filed 6–21–17; 8:45 am] BILLING CODE 4120–01–P 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 respondents Instrument sradovich on DSK3GMQ082PROD with NOTICES Medical Complaint Form .................................................................................. Contact Investigation Form: Non-TB Illness .................................................... Contact Investigation Form: Suspect or Active TB ......................................... 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 VerDate Sep<11>2014 16:08 Jun 21, 2017 Jkt 241001 120 120 120 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: 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 PO 00000 Frm 00022 Fmt 4703 Sfmt 4703 Number of responses per respondent 2,507 4 2 Average burden hours per response .13 .08 .08 Total burden hours 39,109 38 19 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. E:\FR\FM\22JNN1.SGM 22JNN1 28490 Federal Register / Vol. 82, No. 119 / Thursday, June 22, 2017 / Notices Consideration will be given to comments and suggestions submitted within 60 days of this publication. Management Information System (RHY– HMIS) Description: The Runaway and Homeless Youth (RHY) Act, as amended by Public Law 106–71 (42 U.S.C. 5701 et seq.), mandates that the Department of Health and Human Services (HHS) report regularly to Congress on the status of HHS-funded programs serving runaway and homeless youth. Such reporting is similarly mandated by the Government Performance and Results Act Modernization Act of 2010. Organizations funded under the Runaway and Homeless Youth program are required by statute (42 U.S.C. 5712, 42 U.S.C. 5714–2) to meet certain data collection and reporting requirements. These requirements include maintenance of client statistical records on the number and the characteristics of Robert Sargis, Reports Clearance Officer. [FR Doc. 2017–13013 Filed 6–21–17; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [OMB No.: 0970–0123] Proposed Information Collection Activity; Comment Request Proposed Projects: Runaway and Homeless Youth—Homeless the runaway and homeless youth, and youth at risk of family separation, who participate in the project, and the services provided to such youth by the project. Respondents: The respondents are the youth who are recipients of services from RHY program grants, which are made up of States, localities, private entities and coordinated networks of such entities. Typical respondents are the youth that participate in the Basic Center, Transitional Living/Maternity Group Home, and Street Outreach programs. ANNUAL BURDEN ESTIMATES Number of respondents Instrument sradovich on DSK3GMQ082PROD with NOTICES RHY–HMIS: Basic Center Program (Intake) ................................................... RHY–HMIS: Basic Center Program (Exit) ....................................................... RHY–HMIS: Transitional Living Program (including Maternity Group Home program and TLP Demonstration Programs; Intake) ................................... RHY–HMIS: Transitional Living Program (including Maternity Group Home program and TLP Demonstration Programs; Exit) ...................................... RHY–HMIS: Street Outreach Program (Contact) ............................................ RHY–HMIS: Street Outreach Program (Engagement) .................................... Estimated Total Annual Burden Hours: 40,810. In compliance with the requirements of Section 506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Family and Youth Services Bureau within 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, Family and Youth Services Bureau, Switzer Building 330 C Street SW., Washington, DC 20201, 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) VerDate Sep<11>2014 16:08 Jun 21, 2017 Jkt 241001 0.38 0.26 15,580 9,594 6,000 1 0.38 2,280 5,400 36,000 14,400 1 1 1 0.26 0.22 0.28 1,404 7,920 4,032 [FR Doc. 2017–13017 Filed 6–21–17; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Title: State Plan for Grants to States for Refugee Resettlement. OMB No.: 0970–0351. Description: A State Plan is required by 8 U.S.C. 1522 of the Immigration and Nationality Act (the Act) [Title IV, Sec. 412 of the Act] for each State agency requesting Federal funding for refugee resettlement under 8 U.S.C. 524 [Title Fmt 4703 Sfmt 4703 Total burden hours 1 1 Robert Sargis, Reports Clearance Officer. Frm 00023 Average burden hours per response 41,000 36,900 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. PO 00000 Number of responses per respondent IV, Sec. 414 of the Act], including Refugee Cash and Medical Assistance, Unaccompanied Minor Refugee Program, Refugee Social Services, and Targeted Assistance program funding. The State Plan is a comprehensive narrative description of the nature and scope of a States programs and provides assurances that the programs will be administered in conformity with the specific requirements stipulated in 45 CFR 400.4–400.9. The State Plan must include all applicable State procedures, designations, and certifications for each requirement as well as supporting documentation. The plan assures ORR that the State is capable of administering refugee assistance and coordinating employment and other social services for eligible caseloads in conformity with specific requirements. ORR proposes organizational and formatting changes to make the checklist more accessible to the user. Additionally, ORR proposes streamlining language to make the checklist easier to read. These proposed changes include technical corrections to regulatory citations. ORR proposes removing a number of requirements, including an assurance regarding the E:\FR\FM\22JNN1.SGM 22JNN1

Agencies

[Federal Register Volume 82, Number 119 (Thursday, June 22, 2017)]
[Notices]
[Pages 28489-28490]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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: 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.

[[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