Proposed Information Collection Activity; Monitoring and Compliance for Office of Refugee Resettlement Care Provider Facilities (Office of Management and Budget #: 0970-0564), 64798-64801 [2022-23342]
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64798
Federal Register / Vol. 87, No. 206 / Wednesday, October 26, 2022 / Notices
ESTIMATED BURDEN HOURS FOR RESPONDENTS—Continued
Annual
number of
responses per
respondent
Annual
number of
respondents
Information collection title
Unlicensed Facility Program Staff Questionnaires (Forms M–11A–UF to M–
11K–UF) .......................................................................................................
Unlicensed Facility Interpreter Questionnaire (Form M–11P–UF) ..................
Unlicensed Facility UC Questionnaires (Forms M–12A–UF to M–12B–UF &
M–12E–UF) ..................................................................................................
Unlicensed Facility Legal Service Provider Questionnaire (Form M–13C–
UF) ...............................................................................................................
Unlicensed Facility Case Coordinator Questionnaire (Form M–13E–UF) ......
Estimated Annual Burden Hours Total: ....................................................
Average
burden hours
per response
Annual total
burden hours
56
56
32.0
4.0
1.00
0.50
1,792.00
112.00
1,120
1.0
0.50
560.00
224
224
1.0
1.0
0.75
1.00
168.00
224.00
........................
........................
........................
4,315.00
ESTIMATED BURDEN HOURS FOR CONTRACTOR MONITORS
lotter on DSK11XQN23PROD with NOTICES1
Annual
number of
responses per
respondent
Annual
number of
respondents
Information collection title
Average
burden hours
per response
Annual total
burden hours
Unlicensed Facility Monitoring Notes (Form M–6A–UF) .................................
Unlicensed Facility Site Visit Guide (Form M–7A–UF) ...................................
Unlicensed Facility UC Case File Checklist (Form M–8A–UF) .......................
Unlicensed Facility On-Site Monitoring Checklist (Form M–9A–UF) ..............
Unlicensed Facility Personnel File Checklist (Form M–10A–UF) ...................
Unlicensed Facility Program Staff Questionnaires (Forms M–11A–UF to M–
11K–UF) .......................................................................................................
Unlicensed Facility Interpreter Questionnaire (Form M–11P–UF) ..................
Unlicensed Facility UC Questionnaires (Forms M–12A–UF to M–12B–UF &
M–12E–UF) ..................................................................................................
Unlicensed Facility Legal Service Provider Questionnaire (Form M–13C–
UF) ...............................................................................................................
Unlicensed Facility Case Coordinator Questionnaire (Form M–13E–UF) ......
18
18
18
18
18
12.0
12.0
62.0
12.0
50.0
12.00
29.00
6.00
4.00
1.00
2,592.00
6,264.00
6,696.00
864.00
900.00
18
18
100.0
12.0
1.00
0.50
1,800.00
108.00
18
62.0
0.50
558.00
18
18
12.0
12.0
0.75
1.00
162.00
216.00
Estimated Annual Burden Hours Total: ....................................................
........................
........................
........................
20,160.00
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.
Comments will be considered and any
necessary updates to materials made
prior to, and responses provided in, the
submission to OMB that will follow this
public comment period.
Authority: 6 U.S.C. 279; 8 U.S.C.
1232; Flores v. Reno Settlement
VerDate Sep<11>2014
17:37 Oct 25, 2022
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Agreement, No. CV85–4544–RJK (C.D.
Cal. 1996); 45 CFR part 411.
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022–23341 Filed 10–25–22; 8:45 am]
BILLING CODE 4184–45–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Monitoring and Compliance
for Office of Refugee Resettlement
Care Provider Facilities (Office of
Management and Budget #: 0970–0564)
Office of Refugee Resettlement,
Administration for Children and
Families, U.S. Department of Health and
Human Services.
ACTION: Request for public comments.
AGENCY:
The Office of Refugee
Resettlement (ORR), Administration for
Children and Families (ACF), U.S.
Department of Health and Human
SUMMARY:
PO 00000
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Services, is inviting public comments
on the proposed collection. The request
consists of several forms that allow the
ORR Unaccompanied Children (UC)
Program to enhance monitoring efforts
at care provider facilities that are not
licensed by the state, as well as continue
standard monitoring activities that
ensure care provider facilities are in
compliance with federal and state laws
and regulations, licensing and
accreditation standards, ORR policies
and procedures, and child welfare
standards. This notice invites comments
on forms that were recently submitted
for emergency review and approval, and
additional proposed forms.
DATES: In compliance with the
requirements of the Paperwork
Reduction Act of 1995, ACF is soliciting
public comment on the specific aspects
of the information collection described
above.
ADDRESSES: You can obtain copies of the
proposed collection of information and
submit comments by emailing
infocollection@acf.hhs.gov. Identify all
requests by the title of the information
collection.
E:\FR\FM\26OCN1.SGM
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Federal Register / Vol. 87, No. 206 / Wednesday, October 26, 2022 / Notices
used. Quarterly monitoring visits will
mainly focus on health and safety. To
Description
align with that purpose and help
streamline forms that will be
New Forms for Unlicensed Facility
administered more often than their full
Monitoring Visits
ORR is seeking expedited review from version counterparts, adjustments made
to the alternate versions removed some
the Office of Management and Budget
items related to program management.
(OMB) (see notice titled Expedited
Other adjustments were made for clarity
Office of Management and Budget
or to align with current ORR policy and
(OMB) Review and Public Comment:
Monitoring and Compliance for Office of procedures. Quarterly monitoring visits
will continue to monitor the same areas
Refugee Resettlement Care Provider
related to child welfare practices and
Facilities (OMB #: 0970–0564) in this
provision of services as biennial
issue of the Federal Register) for the
monitoring visits.
below-described revisions to this
• Site Visit Guide (Form M–7A–UF)
information collection for the purpose
Æ Under Child Protection—Added
of establishing quarterly health and
requirement for program to provide link
safety monitoring visits for facilities
to mandatory reporting laws/rules and
located in states that are unwilling to
specify who is classified as a mandatory
license programs provider care to UC.
reported in the state in which the
This notice invites comments on these
program is located.
proposed changes and is the first step to
Æ Under Background Checks—
extend approval by OMB.
Clarified that information on foster
1. Added Interpreter Questionnaire
parents is also required.
(Form M–11P), which is currently
Æ Removed reference to mosquito
approved under OMB #0970–0558, to
control inspections.
this information collection.
• Personnel File Checklist (Form M–
2. Added the following forms that
10A–UF)
were previously approved by OMB but
Æ Under General Documentation—
were removed from the information
Removed job description; employment
collection due to the number of
application; personal and professional
respondents. Differences between the
references; educational records;
previously approved versions and the
professional licensure; and I–9
current versions that will be used by
documents.
contractor monitors are as noted below.
• Program Director Questionnaire
• Monitoring Notes (Form M–6A–UF) (Form M–11A–UF)
Æ Directions added to top of form.
Æ Removed question on what changes
• UC Case File Checklist (Form M–
the program director envisions for the
7A–UF)
program in the next year.
Æ Added a Read Me tab with
Æ Modified the question on how the
directions.
program incorporates input from others
Æ Added a summary tab that autoto assess the program to only ask about
sums data from other tabs.
how input from minors and staff is
Æ Revised the formatting of the UC
used. Previously, the question asked
Services tab.
how input from minors, staff, program
• On Site Monitoring Checklist (M–
partners, legal services providers, and
9A–UF)
sponsor is used.
Æ Removed section on mosquito
• Clinician Questionnaire (Form M–
control.
11C–UF)
Æ Under Documents that Should be
Æ Removed question on what system
Posted—Removed reference to two
the clinician uses to document clinical
discontinued items.
sessions.
Æ Under Other—Removed reference
Æ Removed question asking clinician
to mosquito repellant.
to describe their relationship with their
Æ Under Logs/Schedules—Removed
supervisor.
reference to the discontinued UC
• Case Manager Questionnaire (Form
Temperature Tracker.
M–11E–UF)
3. Added the below-listed alternate
Æ Removed question asking case
versions of forms already approved
manager to describe their relationship
under this information collection.
with their supervisor.
Differences between the already
• Education Staff Questionnaire
approved versions and the alternate
(Form M–11G–UF)
versions are as noted below. Unlicensed
Æ No modifications made.
programs will continue to receive
• Medical Coordinator Questionnaire
comprehensive biennial monitoring
(Form M–11I–UF)
visits pursuant to UC Policy Guide
Æ Removed question asking medical
Section 5.5.1 during which the full
coordinator to describe their
original versions of these forms will be
relationship with their supervisor.
lotter on DSK11XQN23PROD with NOTICES1
SUPPLEMENTARY INFORMATION:
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64799
• Youth Care Worker Questionnaire
(Form M–11J–UF)
Æ Removed question on access to UC
Portal.
Æ Removed question on how often
staff meetings are held.
Æ Removed question asking youth
care worker to describe their
relationship with their supervisor.
• Prevention of Sexual Abuse
Compliance Manager Staff
Questionnaire (Form M–11K–UF)
Æ No modifications made.
• Interpreter Questionnaire (Form M–
11P–UF)
Æ No modifications made.
• UC Questionnaire—Ages 6–12
Years Old (Forms M–12A–UF and M–
12As-UF)
Æ Under Communication with
Family—Added question on how often
and how long the child speaks with
their family.
Æ Removed placeholder sections on
meetings with case management and
clinical staff, which are not asked of
children ages 6–12.
• UC Questionnaire—Ages 13 and
Older (Forms M–12B–UF and M–12BsUF)
Æ Under Admission/Orientation—
Removed question asking what the child
remembers about documents signed/
received during the first couple days.
Æ Under Communication with
Family—Added question on how often
and how long the child speaks with
their family. Removed question on
sending/receiving mail and email.
• UC Questionnaire—Ages 5 and
Under (Form M–12E–UF and M–12EsUF)
Æ No modifications made.
• Legal Service Provider
Questionnaire (Form M–13C–UF)
Æ Reworded questions on ability to
perform Know Your Rights and legal
screenings.
Æ Removed question on with which
program staff members legal service
providers regularly interact.
Æ Removed questions method used to
inform legal service providers of
incidents affecting the child’s legal case.
• Case Coordinator Questionnaire
(Form M–13E–UF)
Æ No modifications made.
New Forms for Interim Final Rule (IFR)
Audits
In addition to extending approval of
the revisions described above, which
were submitted for expedited review
and approval, ORR is seeking approval
to add eight new instruments that will
allow ORR to audit its care provider
programs for compliance with the IFR
on Standards to Prevent, Detect, and
Respond to Sexual Abuse and Sexual
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Federal Register / Vol. 87, No. 206 / Wednesday, October 26, 2022 / Notices
Harassment Involving Unaccompanied
Children (45 CFR Subpart L). These
instruments are currently in use without
OMB approval; this request will allow
ORR to comply with the Paperwork
Reduction Act requirements. The
proposed new instruments are:
• Preaudit Questionnaire and Audit
Documentation Requested Checklist
(Form M–17A)
• Instructions for Site Visit and
Facility Tour (Form M–17B)
• Interview Guide: Random Sample
of Staff Interview (Form M–17C)
• Interview Guide: Program Director
(Form M–17D)
• Interview Guide: Prevention of
Sexual Abuse (PSA) Compliance
Manager (Form M–17E)
• Interview Guide: Specialized Staff
(Form M–17F)
• Interview Guide: Unaccompanied
Child (Form M–17G)
• PSA Audit Corrective Action Report
(Form M–17H)
Revisions to Existing Forms in This
Information Collection
The below noted revisions were made
to existing forms in this collection to
better align with ORR policies and
procedures and strengthen monitoring
protocols.
• Site Visit Guide (Form M–7A)
Æ Under Child Protection—Added
requirement for program to provide link
to mandatory reporting laws/rules and
specify who is classified as a mandatory
reported in the state in which the
program is located.
Æ Under Background Checks—
Clarified that information on foster
parents is also required.
Æ Removed reference to mosquito
control inspections.
• Long Term Foster Care (LTFC) Site
Visit Guide (Form M–7C)
Æ Under Program Management—
Added requirement to describe internal
policies and procedures related to
referral and placement.
Æ Under Case Management—Clarified
what programs must provide related to
their procedures on post-18 planning.
Æ Under Problems Encountered—
Removed requirement to provide list of
commonly used partnerships and
services.
Æ Added a note clarifying that ORR
will request foster parent
documentation for foster homes that are
visited during the site visit.
• LTFC Foster Parent Checklist (Form
M–10D)
Æ Under General Documentation—
Added requirement for monitors to
check for completed foster home study
assessments/inspections.
For information about all currently
approved forms under this OMB
number, see: https://www.reginfo.gov/
public/do/PRAViewICR?ref_
nbr=202108-0970-016.
Respondents: ORR grantee and
contractor staff; foster parents; and UC.
Annual Burden Estimates:
Note: These burden estimates include
burden related to the revisions
described above and currently approved
forms for which we are not proposing
any changes.
ESTIMATED BURDEN HOURS FOR RESPONDENTS
Annual
number of
respondents
lotter on DSK11XQN23PROD with NOTICES1
Information collection title
Corrective Action Report (Form M–1) .............................................................
FFS Compliance and Safety Site Visit Report (Form M–3A) ..........................
Out-of-Network Site Visit Report (Form M–3B) ...............................................
Checklist for a Child-Friendly Environment (Form M–4) .................................
Incident Reviews (Forms M–5A to M–5B) .......................................................
Site Visit and Remote Monitoring Site Visit Guides (Forms M–7A to M–7B)
LTFC Site Visit and LTFC Remote Monitoring Site Visit Guides (Forms M–
7C to M–7D) .................................................................................................
Home Study and Post-Release Services Site Visit Guide (Form M–7E) .......
Voluntary Agency Site Visit Guide (Form M–7F) ............................................
Unlicensed Facility Site Visit Guide (Form M–7A–UF) ...................................
Unlicensed Facility UC Case File Checklist (Form M–8A–UF) .......................
Program Staff Questionnaires (Forms M–11A to M–11K) ..............................
Secure Detention Officer Questionnaire (Form M–11L) ..................................
Long Term Foster Care Home Finder Questionnaire (Form M–11M) ............
Long Term Foster Care Independent Living Life Skills Staff Questionnaire
(Form M–11N) ..............................................................................................
Long Term Foster Care Foster Parent Questionnaire (form M–11O) .............
Interpreter Questionnaire (Form M–11P) ........................................................
Unlicensed Facility Program Staff Questionnaires (Forms M–11A–UF to M–
11K–UF) .......................................................................................................
Unlicensed Facility Interpreter Questionnaire (Form M–11P–UF) ..................
UC Questionnaires (Forms M–12A to M–12B & M–12E) ...............................
Long Term Foster Care Client Questionnaire (M–12C) ..................................
Secure Client Questionnaire (Form M–12D) ...................................................
Unlicensed Facility UC Questionnaires (Forms M–12A–UF to M–12B–UF &
M–12E–UF) ..................................................................................................
Home Study and Post-Release Services Director Questionnaire (Form M–
13A) ..............................................................................................................
Home Study and Post-Release Services Caseworker Questionnaire (Form
M–13B) .........................................................................................................
Legal Service Provider Questionnaire (Form M–13C) ....................................
Long Term Foster Care Legal Service Provider Questionnaire (Form M–
13D) ..............................................................................................................
Case Coordinator Questionnaire (Form M–13E) .............................................
Unlicensed Facility Legal Service Provider Questionnaire (Form M–13C–
UF) ...............................................................................................................
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Annual
number of
responses
per
respondent
Average
burden hours
per response
Annual total
burden hours
262
262
24
262
262
114
0.4
12.0
5.0
12.0
0.3
1.0
5.00
1.00
1.00
0.25
1.50
13.00
524.00
3,144.00
120.00
786.00
117.90
1,482.00
18
30
5
56
56
917
1
18
1.0
1.0
1.0
4.0
20.0
1.0
1.0
1.0
6.00
6.00
8.00
1.00
1.00
1.00
1.00
1.00
108.00
180.00
40.00
224.00
1,120.00
917.00
1.00
18.00
18
35
115
1.0
1.0
2.0
1.00
0.75
0.50
18.00
26.25
115.00
56
56
563
88
5
32.0
4.0
1.0
1.0
1.0
1.00
0.50
0.50
0.50
0.50
1,792.00
112.00
281.50
44.00
2.50
1,120
1.0
0.50
560.00
30
1.0
1.00
30.00
90
114
1.0
1.0
1.00
1.00
90.00
114.00
18
131
1.0
1.0
0.75
1.00
13.50
131.00
224
1.0
0.75
168.00
E:\FR\FM\26OCN1.SGM
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64801
Federal Register / Vol. 87, No. 206 / Wednesday, October 26, 2022 / Notices
ESTIMATED BURDEN HOURS FOR RESPONDENTS—Continued
Annual
number of
responses
per
respondent
Annual
number of
respondents
Information collection title
Average
burden hours
per response
Annual total
burden hours
Unlicensed Facility Case Coordinator Questionnaire (Form M–13E–UF) ......
Preaudit Questionnaire and Audit Documentation Requested Checklist
(Form M–17A) ..............................................................................................
Instructions for Site Visit and Facility Tour (Form M–17B) .............................
Interview Guide: Random Sample of Staff Interview (Form M–17C) ..............
Interview Guide: Program Director (Form M–17D) .........................................
Interview Guide: PSA Compliance Manager (Form M–17E) ..........................
Interview Guide: Specialized Staff (Form M–17F) ..........................................
Interview Guide: Unaccompanied Child (Form M–17G) .................................
PSA Audit Corrective Action Report (Form M–17H) .......................................
224
1.0
1.00
224.00
78
78
312
78
78
156
780
78
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
4.00
2.00
1.00
1.00
1.00
1.00
0.50
1.00
312.00
156.00
312.00
78.00
78.00
156.00
390.00
78.00
Estimated Annual Burden Hours Total: ....................................................
........................
........................
........................
14,063.65
ESTIMATED BURDEN HOURS FOR CONTRACTOR MONITORS AND CONTRACTOR AUDITORS
Information collection title
lotter on DSK11XQN23PROD with NOTICES1
Annual
number of
responses
per
respondent
Annual
number of
respondents
Average
burden hours
per response
Annual total
burden hours
Unlicensed Facility Monitoring Notes (Form M–6A–UF) .................................
Unlicensed Facility Site Visit Guide (Form M–7A–UF) ...................................
Unlicensed Facility UC Case File Checklist (Form M–8A–UF) .......................
Unlicensed Facility On-Site Monitoring Checklist (Form M–9A–UF) ..............
Unlicensed Facility Personnel File Checklist (Form M–10A–UF) ...................
Unlicensed Facility Program Staff Questionnaires (Forms M–11A–UF to M–
11K–UF) .......................................................................................................
Unlicensed Facility Interpreter Questionnaire (Form M–11P–UF) ..................
Unlicensed Facility UC Questionnaires (Forms M–12A–UF to M–12B–UF &
M–12E–UF) ..................................................................................................
Unlicensed Facility Legal Service Provider Questionnaire (Form M–13C–
UF) ...............................................................................................................
Unlicensed Facility Case Coordinator Questionnaire (Form M–13E–UF) ......
Preaudit Questionnaire and Audit Documentation Requested Checklist
(Form M–17A) ..............................................................................................
Instructions for Site Visit and Facility Tour (Form M–17B) .............................
Interview Guide: Random Sample of Staff Interview (Form M–17C) ..............
Interview Guide: Program Director (Form M–17D) .........................................
Interview Guide: PSA Compliance Manager (Form M–17E) ..........................
Interview Guide: Specialized Staff (Form M–17F) ..........................................
Interview Guide: Unaccompanied Child (Form M–17G) .................................
PSA Audit Corrective Action Report (Form M–17H) .......................................
18
18
18
18
18
12.0
12.0
62.0
12.0
50.0
12.00
29.00
6.00
4.00
1.00
2,592.00
6,264.00
6,696.00
864.00
900.00
18
18
100.0
12.0
1.00
0.50
1,800.00
108.00
18
62.0
0.50
558.00
18
18
12.0
12.0
0.75
1.00
162.00
216.00
8
8
8
8
8
8
8
8
48.0
48.0
48.0
48.0
48.0
48.0
48.0
48.0
3.00
1.00
1.00
1.00
1.00
1.00
0.50
2.00
1,152.00
384.00
384.00
384.00
384.00
384.00
192.00
768.00
Estimated Annual Burden Hours Total: ....................................................
........................
........................
........................
24,192.00
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
VerDate Sep<11>2014
18:17 Oct 25, 2022
Jkt 259001
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); 45 CFR part 411
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022–23342 Filed 10–25–22; 8:45 am]
BILLING CODE 4184–45–P
PO 00000
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Tribal Maternal, Infant, and
Early Childhood Home Visiting
Program Guidance for Submitting
Reports to the Secretary (Office of
Management and Budget (OMB)
#0970–0409)
Office of Early Childhood
Development, Administration for
Children and Families, Department of
Health and Human Services.
AGENCY:
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]]>Agencies
[Federal Register Volume 87, Number 206 (Wednesday, October 26, 2022)]
[Notices]
[Pages 64798-64801]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-23342]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Monitoring and
Compliance for Office of Refugee Resettlement Care Provider Facilities
(Office of Management and Budget #: 0970-0564)
AGENCY: Office of Refugee Resettlement, Administration for Children and
Families, U.S. Department of Health and Human Services.
ACTION: Request for public comments.
-----------------------------------------------------------------------
SUMMARY: The Office of Refugee Resettlement (ORR), Administration for
Children and Families (ACF), U.S. Department of Health and Human
Services, is inviting public comments on the proposed collection. The
request consists of several forms that allow the ORR Unaccompanied
Children (UC) Program to enhance monitoring efforts at care provider
facilities that are not licensed by the state, as well as continue
standard monitoring activities that ensure care provider facilities are
in compliance with federal and state laws and regulations, licensing
and accreditation standards, ORR policies and procedures, and child
welfare standards. This notice invites comments on forms that were
recently submitted for emergency review and approval, and additional
proposed forms.
DATES: In compliance with the requirements of the Paperwork Reduction
Act of 1995, ACF is soliciting public comment on the specific aspects
of the information collection described above.
ADDRESSES: You can obtain copies of the proposed collection of
information and submit comments by emailing [email protected].
Identify all requests by the title of the information collection.
[[Page 64799]]
SUPPLEMENTARY INFORMATION:
Description
New Forms for Unlicensed Facility Monitoring Visits
ORR is seeking expedited review from the Office of Management and
Budget (OMB) (see notice titled Expedited Office of Management and
Budget (OMB) Review and Public Comment: Monitoring and Compliance for
Office of Refugee Resettlement Care Provider Facilities (OMB #: 0970-
0564) in this issue of the Federal Register) for the below-described
revisions to this information collection for the purpose of
establishing quarterly health and safety monitoring visits for
facilities located in states that are unwilling to license programs
provider care to UC. This notice invites comments on these proposed
changes and is the first step to extend approval by OMB.
1. Added Interpreter Questionnaire (Form M-11P), which is currently
approved under OMB #0970-0558, to this information collection.
2. Added the following forms that were previously approved by OMB
but were removed from the information collection due to the number of
respondents. Differences between the previously approved versions and
the current versions that will be used by contractor monitors are as
noted below.
Monitoring Notes (Form M-6A-UF)
[cir] Directions added to top of form.
UC Case File Checklist (Form M-7A-UF)
[cir] Added a Read Me tab with directions.
[cir] Added a summary tab that auto-sums data from other tabs.
[cir] Revised the formatting of the UC Services tab.
On Site Monitoring Checklist (M-9A-UF)
[cir] Removed section on mosquito control.
[cir] Under Documents that Should be Posted--Removed reference to
two discontinued items.
[cir] Under Other--Removed reference to mosquito repellant.
[cir] Under Logs/Schedules--Removed reference to the discontinued
UC Temperature Tracker.
3. Added the below-listed alternate versions of forms already
approved under this information collection. Differences between the
already approved versions and the alternate versions are as noted
below. Unlicensed programs will continue to receive comprehensive
biennial monitoring visits pursuant to UC Policy Guide Section 5.5.1
during which the full original versions of these forms will be used.
Quarterly monitoring visits will mainly focus on health and safety. To
align with that purpose and help streamline forms that will be
administered more often than their full version counterparts,
adjustments made to the alternate versions removed some items related
to program management. Other adjustments were made for clarity or to
align with current ORR policy and procedures. Quarterly monitoring
visits will continue to monitor the same areas related to child welfare
practices and provision of services as biennial monitoring visits.
Site Visit Guide (Form M-7A-UF)
[cir] Under Child Protection--Added requirement for program to
provide link to mandatory reporting laws/rules and specify who is
classified as a mandatory reported in the state in which the program is
located.
[cir] Under Background Checks--Clarified that information on foster
parents is also required.
[cir] Removed reference to mosquito control inspections.
Personnel File Checklist (Form M-10A-UF)
[cir] Under General Documentation--Removed job description;
employment application; personal and professional references;
educational records; professional licensure; and I-9 documents.
Program Director Questionnaire (Form M-11A-UF)
[cir] Removed question on what changes the program director
envisions for the program in the next year.
[cir] Modified the question on how the program incorporates input
from others to assess the program to only ask about how input from
minors and staff is used. Previously, the question asked how input from
minors, staff, program partners, legal services providers, and sponsor
is used.
Clinician Questionnaire (Form M-11C-UF)
[cir] Removed question on what system the clinician uses to
document clinical sessions.
[cir] Removed question asking clinician to describe their
relationship with their supervisor.
Case Manager Questionnaire (Form M-11E-UF)
[cir] Removed question asking case manager to describe their
relationship with their supervisor.
Education Staff Questionnaire (Form M-11G-UF)
[cir] No modifications made.
Medical Coordinator Questionnaire (Form M-11I-UF)
[cir] Removed question asking medical coordinator to describe their
relationship with their supervisor.
Youth Care Worker Questionnaire (Form M-11J-UF)
[cir] Removed question on access to UC Portal.
[cir] Removed question on how often staff meetings are held.
[cir] Removed question asking youth care worker to describe their
relationship with their supervisor.
Prevention of Sexual Abuse Compliance Manager Staff
Questionnaire (Form M-11K-UF)
[cir] No modifications made.
Interpreter Questionnaire (Form M-11P-UF)
[cir] No modifications made.
UC Questionnaire--Ages 6-12 Years Old (Forms M-12A-UF and
M-12As-UF)
[cir] Under Communication with Family--Added question on how often
and how long the child speaks with their family.
[cir] Removed placeholder sections on meetings with case management
and clinical staff, which are not asked of children ages 6-12.
UC Questionnaire--Ages 13 and Older (Forms M-12B-UF and M-
12Bs-UF)
[cir] Under Admission/Orientation--Removed question asking what the
child remembers about documents signed/received during the first couple
days.
[cir] Under Communication with Family--Added question on how often
and how long the child speaks with their family. Removed question on
sending/receiving mail and email.
UC Questionnaire--Ages 5 and Under (Form M-12E-UF and M-
12Es-UF)
[cir] No modifications made.
Legal Service Provider Questionnaire (Form M-13C-UF)
[cir] Reworded questions on ability to perform Know Your Rights and
legal screenings.
[cir] Removed question on with which program staff members legal
service providers regularly interact.
[cir] Removed questions method used to inform legal service
providers of incidents affecting the child's legal case.
Case Coordinator Questionnaire (Form M-13E-UF)
[cir] No modifications made.
New Forms for Interim Final Rule (IFR) Audits
In addition to extending approval of the revisions described above,
which were submitted for expedited review and approval, ORR is seeking
approval to add eight new instruments that will allow ORR to audit its
care provider programs for compliance with the IFR on Standards to
Prevent, Detect, and Respond to Sexual Abuse and Sexual
[[Page 64800]]
Harassment Involving Unaccompanied Children (45 CFR Subpart L). These
instruments are currently in use without OMB approval; this request
will allow ORR to comply with the Paperwork Reduction Act requirements.
The proposed new instruments are:
Preaudit Questionnaire and Audit Documentation Requested
Checklist (Form M-17A)
Instructions for Site Visit and Facility Tour (Form M-17B)
Interview Guide: Random Sample of Staff Interview (Form M-
17C)
Interview Guide: Program Director (Form M-17D)
Interview Guide: Prevention of Sexual Abuse (PSA)
Compliance Manager (Form M-17E)
Interview Guide: Specialized Staff (Form M-17F)
Interview Guide: Unaccompanied Child (Form M-17G)
PSA Audit Corrective Action Report (Form M-17H)
Revisions to Existing Forms in This Information Collection
The below noted revisions were made to existing forms in this
collection to better align with ORR policies and procedures and
strengthen monitoring protocols.
Site Visit Guide (Form M-7A)
[cir] Under Child Protection--Added requirement for program to
provide link to mandatory reporting laws/rules and specify who is
classified as a mandatory reported in the state in which the program is
located.
[cir] Under Background Checks--Clarified that information on foster
parents is also required.
[cir] Removed reference to mosquito control inspections.
Long Term Foster Care (LTFC) Site Visit Guide (Form M-7C)
[cir] Under Program Management--Added requirement to describe
internal policies and procedures related to referral and placement.
[cir] Under Case Management--Clarified what programs must provide
related to their procedures on post-18 planning.
[cir] Under Problems Encountered--Removed requirement to provide
list of commonly used partnerships and services.
[cir] Added a note clarifying that ORR will request foster parent
documentation for foster homes that are visited during the site visit.
LTFC Foster Parent Checklist (Form M-10D)
[cir] Under General Documentation--Added requirement for monitors
to check for completed foster home study assessments/inspections.
For information about all currently approved forms under this OMB
number, see: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202108-0970-016.
Respondents: ORR grantee and contractor staff; foster parents; and
UC.
Annual Burden Estimates:
Note: These burden estimates include burden related to the
revisions described above and currently approved forms for which we are
not proposing any changes.
Estimated Burden Hours for Respondents
----------------------------------------------------------------------------------------------------------------
Annual number
Annual number of responses Average burden Annual total
Information collection title of respondents per hours per burden hours
respondent response
----------------------------------------------------------------------------------------------------------------
Corrective Action Report (Form M-1)............. 262 0.4 5.00 524.00
FFS Compliance and Safety Site Visit Report 262 12.0 1.00 3,144.00
(Form M-3A)....................................
Out-of-Network Site Visit Report (Form M-3B).... 24 5.0 1.00 120.00
Checklist for a Child-Friendly Environment (Form 262 12.0 0.25 786.00
M-4)...........................................
Incident Reviews (Forms M-5A to M-5B)........... 262 0.3 1.50 117.90
Site Visit and Remote Monitoring Site Visit 114 1.0 13.00 1,482.00
Guides (Forms M-7A to M-7B)....................
LTFC Site Visit and LTFC Remote Monitoring Site 18 1.0 6.00 108.00
Visit Guides (Forms M-7C to M-7D)..............
Home Study and Post-Release Services Site Visit 30 1.0 6.00 180.00
Guide (Form M-7E)..............................
Voluntary Agency Site Visit Guide (Form M-7F)... 5 1.0 8.00 40.00
Unlicensed Facility Site Visit Guide (Form M-7A- 56 4.0 1.00 224.00
UF)............................................
Unlicensed Facility UC Case File Checklist (Form 56 20.0 1.00 1,120.00
M-8A-UF).......................................
Program Staff Questionnaires (Forms M-11A to M- 917 1.0 1.00 917.00
11K)...........................................
Secure Detention Officer Questionnaire (Form M- 1 1.0 1.00 1.00
11L)...........................................
Long Term Foster Care Home Finder Questionnaire 18 1.0 1.00 18.00
(Form M-11M)...................................
Long Term Foster Care Independent Living Life 18 1.0 1.00 18.00
Skills Staff Questionnaire (Form M-11N)........
Long Term Foster Care Foster Parent 35 1.0 0.75 26.25
Questionnaire (form M-11O).....................
Interpreter Questionnaire (Form M-11P).......... 115 2.0 0.50 115.00
Unlicensed Facility Program Staff Questionnaires 56 32.0 1.00 1,792.00
(Forms M-11A-UF to M-11K-UF)...................
Unlicensed Facility Interpreter Questionnaire 56 4.0 0.50 112.00
(Form M-11P-UF)................................
UC Questionnaires (Forms M-12A to M-12B & M-12E) 563 1.0 0.50 281.50
Long Term Foster Care Client Questionnaire (M- 88 1.0 0.50 44.00
12C)...........................................
Secure Client Questionnaire (Form M-12D)........ 5 1.0 0.50 2.50
Unlicensed Facility UC Questionnaires (Forms M- 1,120 1.0 0.50 560.00
12A-UF to M-12B-UF & M-12E-UF).................
Home Study and Post-Release Services Director 30 1.0 1.00 30.00
Questionnaire (Form M-13A).....................
Home Study and Post-Release Services Caseworker 90 1.0 1.00 90.00
Questionnaire (Form M-13B).....................
Legal Service Provider Questionnaire (Form M- 114 1.0 1.00 114.00
13C)...........................................
Long Term Foster Care Legal Service Provider 18 1.0 0.75 13.50
Questionnaire (Form M-13D).....................
Case Coordinator Questionnaire (Form M-13E)..... 131 1.0 1.00 131.00
Unlicensed Facility Legal Service Provider 224 1.0 0.75 168.00
Questionnaire (Form M-13C-UF)..................
[[Page 64801]]
Unlicensed Facility Case Coordinator 224 1.0 1.00 224.00
Questionnaire (Form M-13E-UF)..................
Preaudit Questionnaire and Audit Documentation 78 1.0 4.00 312.00
Requested Checklist (Form M-17A)...............
Instructions for Site Visit and Facility Tour 78 1.0 2.00 156.00
(Form M-17B)...................................
Interview Guide: Random Sample of Staff 312 1.0 1.00 312.00
Interview (Form M-17C).........................
Interview Guide: Program Director (Form M-17D).. 78 1.0 1.00 78.00
Interview Guide: PSA Compliance Manager (Form M- 78 1.0 1.00 78.00
17E)...........................................
Interview Guide: Specialized Staff (Form M-17F). 156 1.0 1.00 156.00
Interview Guide: Unaccompanied Child (Form M- 780 1.0 0.50 390.00
17G)...........................................
PSA Audit Corrective Action Report (Form M-17H). 78 1.0 1.00 78.00
---------------------------------------------------------------
Estimated Annual Burden Hours Total:........ .............. .............. .............. 14,063.65
----------------------------------------------------------------------------------------------------------------
Estimated Burden Hours for Contractor Monitors and Contractor Auditors
----------------------------------------------------------------------------------------------------------------
Annual number
Annual number of responses Average burden Annual total
Information collection title of respondents per hours per burden hours
respondent response
----------------------------------------------------------------------------------------------------------------
Unlicensed Facility Monitoring Notes (Form M-6A- 18 12.0 12.00 2,592.00
UF)............................................
Unlicensed Facility Site Visit Guide (Form M-7A- 18 12.0 29.00 6,264.00
UF)............................................
Unlicensed Facility UC Case File Checklist (Form 18 62.0 6.00 6,696.00
M-8A-UF).......................................
Unlicensed Facility On-Site Monitoring Checklist 18 12.0 4.00 864.00
(Form M-9A-UF).................................
Unlicensed Facility Personnel File Checklist 18 50.0 1.00 900.00
(Form M-10A-UF)................................
Unlicensed Facility Program Staff Questionnaires 18 100.0 1.00 1,800.00
(Forms M-11A-UF to M-11K-UF)...................
Unlicensed Facility Interpreter Questionnaire 18 12.0 0.50 108.00
(Form M-11P-UF)................................
Unlicensed Facility UC Questionnaires (Forms M- 18 62.0 0.50 558.00
12A-UF to M-12B-UF & M-12E-UF).................
Unlicensed Facility Legal Service Provider 18 12.0 0.75 162.00
Questionnaire (Form M-13C-UF)..................
Unlicensed Facility Case Coordinator 18 12.0 1.00 216.00
Questionnaire (Form M-13E-UF)..................
Preaudit Questionnaire and Audit Documentation 8 48.0 3.00 1,152.00
Requested Checklist (Form M-17A)...............
Instructions for Site Visit and Facility Tour 8 48.0 1.00 384.00
(Form M-17B)...................................
Interview Guide: Random Sample of Staff 8 48.0 1.00 384.00
Interview (Form M-17C).........................
Interview Guide: Program Director (Form M-17D).. 8 48.0 1.00 384.00
Interview Guide: PSA Compliance Manager (Form M- 8 48.0 1.00 384.00
17E)...........................................
Interview Guide: Specialized Staff (Form M-17F). 8 48.0 1.00 384.00
Interview Guide: Unaccompanied Child (Form M- 8 48.0 0.50 192.00
17G)...........................................
PSA Audit Corrective Action Report (Form M-17H). 8 48.0 2.00 768.00
---------------------------------------------------------------
Estimated Annual Burden Hours Total:........ .............. .............. .............. 24,192.00
----------------------------------------------------------------------------------------------------------------
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); 45 CFR part 411
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022-23342 Filed 10-25-22; 8:45 am]
BILLING CODE 4184-45-P
