Proposed Information Collection Activity; Mental Health Care Services for Unaccompanied Alien Children (New Collection), 1114-1115 [2021-00001]
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Federal Register / Vol. 86, No. 4 / Thursday, January 7, 2021 / Notices
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2021–00003 Filed 1–6–21; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Child Care and Development
Fund (CCDF) ACF–696T Financial
Report (OMB #0970–0195)
Office of Child Care,
Administration for Children and
Families, HHS.
ACTION: Request for public comment.
AGENCY:
The Administration for
Children and Families (ACF) is
SUMMARY:
requesting a 3-year extension of the
form ACF–696T: Child Care and
Development Fund Annual Financial
Report. This form is currently approved
under the ACF Generic Clearance for
Financial Reports (OMB #0970–0510;
expiration May 31, 2021), and ACF is
proposing to reinstate the previous OMB
number under which this form had been
approved. There are no changes
requested to the form.
DATES: Comments due within 60 days of
publication. In compliance with the
requirements of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
ACF is soliciting public comment on the
specific aspects of the information
collection described above.
ADDRESSES: Copies of the proposed
collection of information can be
obtained and comments may be
forwarded 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 (OPRE), 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: The ACF–696T Financial
Report along with the instruction for
completion of Form ACF–696T
Financial Reporting Form for the Child
Care and Development Fund (CCDF) are
being submitted for renewal with no
changes. The form collects CCDF
financial expenditures data for the 221
Tribal Lead Agencies that receive CCDF
funding. This report form is submitted
annually by the referenced CCDF grant
recipients. The form collects
expenditures data for all respondents
that receive CCDF funding.
Respondents: The 221 Tribal Lead
Agencies that receive CCDF funding.
ANNUAL BURDEN ESTIMATES
Instrument
Annual
number of
respondents
Annual
number of
responses per
respondent
Average
burden hours
per response
Annual
burden hours
Child Care and Development Fund ACF–696T Financial Report ...........
221
1
5
1,105
Estimated Total Annual Burden
Hours: 1,105.
Comments: 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.
jbell on DSKJLSW7X2PROD with NOTICES
Authority: Section 658G(d), Pub. L. 113–
186, 128 Stat. 1971.
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2021–00017 Filed 1–6–21; 8:45 am]
BILLING CODE 4184–43–P
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Jkt 253001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Mental Health Care Services
for Unaccompanied Alien Children
(New Collection)
Copies of the proposed
collection of information can be
obtained and comments may be
forwarded 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 (OPRE), 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.
ADDRESSES:
Office of Refugee Resettlement,
Administration for Children and
Families, Department of Health and
Human Services.
ACTION: Request for public comment.
Description
The Office of Refugee
Resettlement (ORR), Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services (HHS), is inviting public
comments on the proposed collection.
The request consists of several forms
that allow the Unaccompanied Alien
Children (UAC) Program to provide
mental health care services to UAC.
DATES: Comments due within 60 days of
publication. In compliance with the
requirements of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
ACF is soliciting public comment on the
specific aspects of the information
collection described above.
1. Initial Mental Health Evaluation
(Form MH–1): This instrument is used
by clinicians to document the UAC’s
mental state upon arrival to the care
provider facility. It includes an
assessment of the UAC’s current mental
state, psychiatric history, and substance
use history.
2. Columbia Suicide Severity Rating
Scale (SSRS) Risk Assessment (Form
MH–2): This instrument is used by
clinicians to assess suicide risk for UAC
who verbalize or demonstrate suicidal
thoughts or behavior. It is a shorter
version of the standard Columbia SSRS
used to triage mental health care for
UAC, a tool designed to support suicide
AGENCY:
SUMMARY:
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Sfmt 4703
SUPPLEMENTARY INFORMATION:
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Federal Register / Vol. 86, No. 4 / Thursday, January 7, 2021 / Notices
risk assessment through a series of
simple, plain-language questions that
anyone can ask. The Columbia SSRS
includes the most essential, evidencesupported questions required for a
thorough assessment. Further
information about the Columbia SSRS
can be found at https://
cssrs.columbia.edu/the-columbia-scalec-ssrs/about-the-scale/.
3. Mental Health Group Event (Form
MH–3): This instrument is used by
clinicians to document group
counseling or community meetings held
at the care provider program.
4. Clinical Contact Log (Form MH–4):
This instrument is used by clinicians to
document the following mental health
services: Individual counseling, group
counseling, community meetings,
family counseling sessions, screenings/
evaluations, and collateral contact with
services providers involved in the
UAC’s case. Mental Health Group
Events (Form MH–3) may be linked to
a Clinical Contact Log entry.
5. Mental Health Referral (Form MH–
5): This instrument is used by clinicians
and/or medical coordinators to refer a
UAC for community-based mental
health care services (assessments/
evaluations, psychotherapy, medical
referrals, and treatment), acute and longterm psychiatric hospitalizations, and
referrals to out-of-network residential
treatment centers.
6. Mental Health Service Report
(Form MH–6): This instrument is used
by clinicians and/or medical
coordinators to document the provision
of community-based mental health care
services (assessments/evaluations,
psychotherapy, medical referrals, and
treatment), acute and long-term
psychiatric hospitalizations, and
referrals to out-of-network residential
treatment centers. In addition, the UAC
interview portion of the Out-of-Network
Site Visit Report (Form M–3B), which is
part of a different information collection
request, is accessible from within this
instrument.
7. Mental Health Task (Form MH–7):
This instrument is auto-generated to
create reminders for clinicians and/or
medical coordinators of tasks that must
be completed. Clinicians and/or medical
coordinators may edit the instrument
after it is generated.
Respondents: ORR grantee and
contractor staff, and UAC.
ANNUAL BURDEN ESTIMATES
Annual total
number of
respondents
Instrument
Average
burden minutes
per response
Annual total
burden hours
Initial Mental Health Evaluation (Form MH–1) ..............................................
Columbia SSRS Risk Assessment (Form MH–2) .........................................
Mental Health Group Event (Form MH–3) ....................................................
Clinical Contact Log (Form MH–4) ................................................................
Mental Health Referral (Form MH–5) ............................................................
Mental Health Service Report (Form MH–6) .................................................
Mental Health Task (Form MH–7) .................................................................
216
216
216
216
216
216
216
241
5
156
11,194
24
31
55
60
45
10
10
45
45
5
52,056
810
5,616
402,984
3,888
5,022
990
Estimated Annual Burden Hours Total: ..................................................
........................
........................
..........................
471,366
Comments: 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.
Authority: 6 U.S.C. 279; 8 U.S.C. 1232;
Flores v. Reno Settlement Agreement, No.
CV85–4544–RJK (C.D. Cal. 1996).
jbell on DSKJLSW7X2PROD with NOTICES
Annual total
number of
responses per
respondent
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2021–00001 Filed 1–6–21; 8:45 am]
BILLING CODE 4184–45–P
VerDate Sep<11>2014
18:12 Jan 06, 2021
Jkt 253001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Child Care and Development
Fund (CCDF) ACF–696 Financial
Report (OMB #0970–0163)
Office of Child Care,
Administration for Children and
Families, HHS.
ACTION: Request for public comment.
AGENCY:
The Administration for
Children and Families (ACF) is
requesting a 3-year extension of the
form ACF–696: Child Care and
Development Fund (CCDF) Quarterly
Financial Report. This form is currently
approved under the ACF Generic
Clearance for Financial Reports (OMB
#0970–0510; expiration May 31, 2021),
and ACF is proposing to reinstate the
previous OMB number under which this
form had been approved. There are no
changes requested to the form.
DATES: Comments due within 60 days of
publication. In compliance with the
SUMMARY:
PO 00000
Frm 00033
Fmt 4703
Sfmt 4703
requirements of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
ACF is soliciting public comment on the
specific aspects of the information
collection described above.
ADDRESSES: Copies of the proposed
collection of information can be
obtained and comments may be
forwarded 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 (OPRE), 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: The ACF–696 Financial
Report along with the instructions for
completion of Form ACF–696, Financial
Reporting Form for CCDF are being
submitted for renewal with no changes
under a previous OMB number. The
form collects CCDF financial
expenditures data for the 50 States, the
District of Columbia, and five U.S.
Territories that receive CCDF funding
(American Samoa, Commonwealth of
E:\FR\FM\07JAN1.SGM
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]]>Agencies
[Federal Register Volume 86, Number 4 (Thursday, January 7, 2021)]
[Notices]
[Pages 1114-1115]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-00001]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Mental Health Care
Services for Unaccompanied Alien Children (New Collection)
AGENCY: Office of Refugee Resettlement, Administration for Children and
Families, Department of Health and Human Services.
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 inviting public comments on the proposed collection.
The request consists of several forms that allow the Unaccompanied
Alien Children (UAC) Program to provide mental health care services to
UAC.
DATES: Comments due within 60 days of publication. In compliance with
the requirements of Section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995, ACF is soliciting public comment on the specific aspects
of the information collection described above.
ADDRESSES: Copies of the proposed collection of information can be
obtained and comments may be forwarded 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 (OPRE), 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
1. Initial Mental Health Evaluation (Form MH-1): This instrument is
used by clinicians to document the UAC's mental state upon arrival to
the care provider facility. It includes an assessment of the UAC's
current mental state, psychiatric history, and substance use history.
2. Columbia Suicide Severity Rating Scale (SSRS) Risk Assessment
(Form MH-2): This instrument is used by clinicians to assess suicide
risk for UAC who verbalize or demonstrate suicidal thoughts or
behavior. It is a shorter version of the standard Columbia SSRS used to
triage mental health care for UAC, a tool designed to support suicide
[[Page 1115]]
risk assessment through a series of simple, plain-language questions
that anyone can ask. The Columbia SSRS includes the most essential,
evidence-supported questions required for a thorough assessment.
Further information about the Columbia SSRS can be found at https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/.
3. Mental Health Group Event (Form MH-3): This instrument is used
by clinicians to document group counseling or community meetings held
at the care provider program.
4. Clinical Contact Log (Form MH-4): This instrument is used by
clinicians to document the following mental health services: Individual
counseling, group counseling, community meetings, family counseling
sessions, screenings/evaluations, and collateral contact with services
providers involved in the UAC's case. Mental Health Group Events (Form
MH-3) may be linked to a Clinical Contact Log entry.
5. Mental Health Referral (Form MH-5): This instrument is used by
clinicians and/or medical coordinators to refer a UAC for community-
based mental health care services (assessments/evaluations,
psychotherapy, medical referrals, and treatment), acute and long-term
psychiatric hospitalizations, and referrals to out-of-network
residential treatment centers.
6. Mental Health Service Report (Form MH-6): This instrument is
used by clinicians and/or medical coordinators to document the
provision of community-based mental health care services (assessments/
evaluations, psychotherapy, medical referrals, and treatment), acute
and long-term psychiatric hospitalizations, and referrals to out-of-
network residential treatment centers. In addition, the UAC interview
portion of the Out-of-Network Site Visit Report (Form M-3B), which is
part of a different information collection request, is accessible from
within this instrument.
7. Mental Health Task (Form MH-7): This instrument is auto-
generated to create reminders for clinicians and/or medical
coordinators of tasks that must be completed. Clinicians and/or medical
coordinators may edit the instrument after it is generated.
Respondents: ORR grantee and contractor staff, and UAC.
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Annual total
Annual total number of Average burden Annual total
Instrument number of responses per minutes per burden hours
respondents respondent response
----------------------------------------------------------------------------------------------------------------
Initial Mental Health Evaluation (Form MH-1)... 216 241 60 52,056
Columbia SSRS Risk Assessment (Form MH-2)...... 216 5 45 810
Mental Health Group Event (Form MH-3).......... 216 156 10 5,616
Clinical Contact Log (Form MH-4)............... 216 11,194 10 402,984
Mental Health Referral (Form MH-5)............. 216 24 45 3,888
Mental Health Service Report (Form MH-6)....... 216 31 45 5,022
Mental Health Task (Form MH-7)................. 216 55 5 990
----------------------------------------------------------------
Estimated Annual Burden Hours Total:....... .............. .............. ............... 471,366
----------------------------------------------------------------------------------------------------------------
Comments: 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.
Authority: 6 U.S.C. 279; 8 U.S.C. 1232; Flores v. Reno
Settlement Agreement, No. CV85-4544-RJK (C.D. Cal. 1996).
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2021-00001 Filed 1-6-21; 8:45 am]
BILLING CODE 4184-45-P
