Submission for OMB Review; Information Collection Activity; Initial Medical Exam Form and Dental Exam Form, 60801-60802 [2020-21265]
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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
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18:25 Sep 25, 2020
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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
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]]>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
