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]
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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
