Submission for OMB Review; Information Collection Activity; Initial Medical Exam Form and Dental Exam Form, 60801-60802 [2020-21265]

Download as PDF 60801 Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices Comments due within 30 days of publication. 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. ADDRESSES: 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. Copies of the proposed collection may be obtained by emailing infocollection@ acf.hhs.gov. Alternatively, copies can also be obtained by writing to the Administration for Children and Families, Office of Planning, Research, DATES: DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [OMB #0970–0466] Submission for OMB Review; Information Collection Activity; Initial Medical Exam Form and Dental Exam Form Office of Refugee Resettlement, Administration for Children and Families, HHS. ACTION: Request for public comment. AGENCY: The Office of Refugee Resettlement (ORR), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting to continue the data collection approved by the Office of Management and Budget (OMB) under expedited review. SUMMARY: Information collection title SUPPLEMENTARY INFORMATION: Description: ACF was granted a 180day approval by OMB to collect information about instances of COVID– 19. A request for review under normal procedures will now be submitted to continue collection of this information as part of the information collection under OMB #0970–0466. Respondents: Healthcare providers (Pediatricians and Dentists) and ORR Grantee Staff. Annual Burden Estimates: Estimated Opportunity Costs for Respondents Pediatricians, General Annual number of respondents Annual number of responses per respondent Average burden hours per response Total burden hours Annual burden hours 195 271 0.22 34,878 11,626 Initial Medical Exam Form (excluding Appendix A: Supplemental TB Screening Form) ............................................. Estimated Annual Burden Total: 11,626. and Evaluation, 330 C Street SW, Washington, DC 20201, Attn: ACF Reports Clearance Officer. All requests, emailed or written, should be identified by the title of the information collection. ORR Grantee Staff Information collection title Annual number of respondents Annual number of responses per respondent Average burden hours per response Total burden hours Annual burden hours Appendix A: Supplemental TB Screening Form .................. 195 271 0.05 7,926 2,642 Information collection title Annual number of respondents Annual number of responses per respondent Average burden hours per response Total burden hours Annual burden hours Dental Exam Form ............................................................... 195 46 0.08 2,154 718 Estimated Annual Burden Total: 2,642. Dentists Estimated Annual Burden Total: 718. Estimated Recordkeeping Costs Estimated Recordkeeping Costs ORR Grantee Staff ORR Grantee Staff Annual number of respondents Annual number of responses per respondent Average burden hours per response Total burden hours Annual burden hours Initial Medical Exam Form (including Appendix A: Supplemental TB Screening Form) ............................................. 195 271 0.33 52,317 17,439 Dental Exam Form ............................................................... 195 46 0.17 4,575 1,525 Information collection title VerDate Sep<11>2014 18:25 Sep 25, 2020 Jkt 250001 PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 E:\FR\FM\28SEN1.SGM 28SEN1 60802 Federal Register / Vol. 85, No. 188 / Monday, September 28, 2020 / Notices Estimated Annual Burden Total: 18,964. Authority: 6 U.S.C. 279: 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]). John M. Sweet, Jr., ACF/OPRE Certifying Officer. [FR Doc. 2020–21265 Filed 9–25–20; 8:45 am] BILLING CODE 4184–45–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Application Requirements for the Low Income Home Energy Assistance Program (LIHEAP) Model Plan Application (OMB #0970–0075) Office of Community Services, Administration for Children and Families, HHS. AGENCY: ACTION: The Office of Community Services (OCS), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting a 3-year extension of the form OCS–0024: Low Income Home Energy Assistance Program (LIHEAP) Model Plan Application (OMB #0970–0075, expiration 09/30/2020). There are no changes requested to the form. DATES: Comments due within 30 days of publication. OMB must make a decision about 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. ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. SUMMARY: Request for public comment. SUPPLEMENTARY INFORMATION: Description: States, including the District of Columbia, tribes, tribal organizations, and U.S. territories applying for LIHEAP block grant funds must, prior to receiving federal funds, submit an annual application (Model Plan, ACF–122) that meets the LIHEAP statutory and regulatory requirements. In addition to the Model Plan, grantees are also required to complete the Mandatory Grant Application, SF–424— Mandatory, which is included as the first section of the Model Plan. The LIHEAP Model Plan is an electronic form and is submitted to OCS/ACF through the On-line Data Collection (OLDC) system within GrantSolutions, which is currently being used by all LIHEAP grantees to submit other required LIHEAP reporting forms. In order to reduce the reporting burden, all data entries from each grantee’s prior year’s submission of the Model Plan in OLDC are saved and repopulated into the form for the following fiscal year’s application. Respondents: States, the District of Columbia, U.S. territories, and tribal governments. ANNUAL BURDEN ESTIMATES Instrument Total annual number of respondents Total annual number of responses per respondent Average burden hours per response Total annual burden hours LIHEAP Detailed Model Plan .......................................................................... 210 1 .50 105 Estimated Total Annual Burden Hours: 105. Authority: 42 U.S.C. 8621. John M. Sweet Jr, ACF/OPRE Certifying Officer. [FR Doc. 2020–21267 Filed 9–25–20; 8:45 am] BILLING CODE 4184–80–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Information Collection Activity; Health Assessment Form, Public Health Investigation Form: Non-TB Illness, and Public Health Investigation Form: Active TB (OMB #0970–0509) Office of Refugee Resettlement, Administration for Children and Families, HHS. ACTION: Request for public comment. AGENCY: VerDate Sep<11>2014 18:25 Sep 25, 2020 Jkt 250001 The Office of Refugee Resettlement (ORR), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting to continue the data collection approved by the Office of Management and Budget (OMB) under expedited review. DATES: Comments due within 30 days of publication. 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. SUMMARY: 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. ADDRESSES: PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 Copies of the proposed collection may be obtained by emailing infocollection@ acf.hhs.gov. Alternatively, copies can also be obtained 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. All requests, emailed or written, should be identified by the title of the information collection. SUPPLEMENTARY INFORMATION: Description: ACF was granted a 180day approval by OMB to collect information about instances of COVID– 19. A request for review under normal procedures will now be submitted to continue collection of this information as part of the information collection under OMB #0970–0509. Respondents: Healthcare providers (Pediatricians) and ORR Grantee Staff. Annual Burden Estimates: Estimated Opportunity Costs for Respondents: E:\FR\FM\28SEN1.SGM 28SEN1

Agencies

[Federal Register Volume 85, Number 188 (Monday, September 28, 2020)]
[Notices]
[Pages 60801-60802]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21265]



[[Page 60801]]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[OMB #0970-0466]


Submission for OMB Review; Information Collection Activity; 
Initial Medical Exam Form and Dental Exam Form

AGENCY: Office of Refugee Resettlement, Administration for Children and 
Families, HHS.

ACTION: Request for public comment.

-----------------------------------------------------------------------

SUMMARY: The Office of Refugee Resettlement (ORR), Administration for 
Children and Families (ACF), U.S. Department of Health and Human 
Services (HHS), is requesting to continue the data collection approved 
by the Office of Management and Budget (OMB) under expedited review.

DATES: Comments due within 30 days of publication. 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.

ADDRESSES: 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: 
[email protected], Attn: Desk Officer for the Administration 
for Children and Families.
    Copies of the proposed collection may be obtained by emailing 
[email protected]. Alternatively, copies can also be obtained 
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. All requests, emailed or 
written, should be identified by the title of the information 
collection.

SUPPLEMENTARY INFORMATION:
    Description: ACF was granted a 180-day approval by OMB to collect 
information about instances of COVID-19. A request for review under 
normal procedures will now be submitted to continue collection of this 
information as part of the information collection under OMB #0970-0466.
    Respondents: Healthcare providers (Pediatricians and Dentists) and 
ORR Grantee Staff.
    Annual Burden Estimates:

Estimated Opportunity Costs for Respondents

Pediatricians, General

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                       Annual  number  Average  burden
                    Information collection title                      Annual  number   of  responses      hours  per     Total  burden    Annual  burden
                                                                     of  respondents  per  respondent      response          hours            hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Initial Medical Exam Form (excluding Appendix A: Supplemental TB                195              271             0.22           34,878           11,626
 Screening Form)...................................................
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Estimated Annual Burden Total: 11,626.

ORR Grantee Staff

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                       Annual  number  Average  burden
                    Information collection title                      Annual  number   of  responses      hours  per     Total  burden    Annual  burden
                                                                     of  respondents  per  respondent      response          hours            hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Appendix A: Supplemental TB Screening Form.........................             195              271             0.05            7,926            2,642
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Estimated Annual Burden Total: 2,642.

Dentists

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                       Annual  number  Average  burden
                    Information collection title                      Annual  number   of  responses      hours  per     Total  burden    Annual  burden
                                                                     of  respondents  per  respondent      response          hours            hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Dental Exam Form...................................................             195               46             0.08            2,154              718
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Estimated Annual Burden Total: 718.

Estimated Recordkeeping Costs

ORR Grantee Staff

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                       Annual  number  Average  burden
                    Information collection title                      Annual  number   of  responses      hours  per     Total  burden    Annual  burden
                                                                     of  respondents  per  respondent      response          hours            hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Initial Medical Exam Form (including Appendix A: Supplemental TB                195              271             0.33           52,317           17,439
 Screening Form)...................................................
                                                                    ------------------------------------------------------------------------------------
Dental Exam Form...................................................             195               46             0.17            4,575            1,525
--------------------------------------------------------------------------------------------------------------------------------------------------------


[[Page 60802]]

    Estimated Annual Burden Total: 18,964.

    Authority: 6 U.S.C. 279: 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]).

John M. Sweet, Jr.,
ACF/OPRE Certifying Officer.
[FR Doc. 2020-21265 Filed 9-25-20; 8:45 am]
BILLING CODE 4184-45-P