Proposed Information Collection Activity; Medical Assessment Form and Dental Assessment Form (Office of Management and Budget 0970-0466), 35883-35884 [2023-11626]
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35883
Federal Register / Vol. 88, No. 105 / Thursday, June 1, 2023 / Notices
Æ Information collected on these
types of surveys could include requests
for feedback on the overall activity,
feedback on content, post-meeting
knowledge, post-meeting uses of
content, preferences for future activities,
etc.
As part of this generic, ACF requests
OMB provide a response on individual
generic information collections within 5
business days.
Note that this generic is primarily for
information collected in connection
with closed ACF meetings, as
information collected in connection
with public ACF meetings are not
considered ‘‘information’’ under PRA
per 44 U.S.C., 5 CFR Ch. 11 (1–1–99
Edition), 1320.3: Definitions.
Respondents: Potential respondents
may include researchers, individuals
with expertise in ACF program areas,
individuals with interest in ACF
program areas, those receiving ACF
services, ACF grantees or contractors,
among others with involvement or
interest in ACF activities.
TOTAL BURDEN ESTIMATES
Average
burden hours
per response
Total burden
hours
Average
hourly wage
Total
annual cost
Registration Forms .............................................................
Applications ........................................................................
Pre- and Post-activity Surveys ...........................................
Other Activities ...................................................................
30,000
5000
20,000
14,000
1
1
1
1
.167 ......................
1.5 ........................
.5 ..........................
.5 ..........................
5010
7500
10000
7000
$64
64
64
64
$320,640
480,000
640,000
448,000
Estimated Totals .........................................................
69,000
........................
.428 (average) ......
29,510
........................
1,888,640
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.
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2023–11571 Filed 5–31–23; 8:45 am]
BILLING CODE 4184–79–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Medical Assessment Form
and Dental Assessment Form (Office
of Management and Budget 0970–
0466)
ddrumheller on DSK120RN23PROD with NOTICES1
Total
number of
responses per
respondent
Total
number of
respondents
Example types of information collections
Office of Refugee Resettlement,
Administration for Children and
Families, United States Department of
Health and Human Services.
ACTION: Request for public comments.
AGENCY:
The Administration for
Children and Families (ACF) is
requesting a 3-year extension of the
SUMMARY:
VerDate Sep<11>2014
17:37 May 31, 2023
Jkt 259001
forms Medical Assessment Form
(formerly, the Initial Medical Exam
(IME) Form and Supplemental
Tuberculosis (TB) Screening Form) and
Dental Assessment Form (formerly, the
Dental Exam Form) (Office of
Management and Budget (OMB) #0970–
0466, expiration December 31, 2023).
Changes are proposed to the currently
approved forms.
DATES: Comments due within 60 days of
publication. 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.
SUPPLEMENTARY INFORMATION:
Description: The ACF Office of
Refugee Resettlement (ORR) places
unaccompanied children in their
custody in care provider facilities until
unification with a qualified sponsor.
Care provider facilities are required to
provide children with services such as
mental health services and health care.
Each child must receive an IME within
2 business days of admission to an ORR
care provider program or temporary
influx care facility. The IME satisfies
Flores requirements which require a
‘‘complete medical examination,
including a screening for infectious
disease. The purposes of the IME are to
assess general health, administer
vaccinations in keeping with U.S.
standards (also required by Flores),
identify health conditions that require
further attention, and detect contagious
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
diseases of public health importance,
such as influenza or TB. The IME is
performed by a licensed health care
provider and comprised of a complete
medical history and physical exam, risk,
and age-based laboratory screenings, TB
screenings and immunizations. In
addition, children may be referred to a
medical specialist by their healthcare
provider for acute or chronic conditions
that require additional evaluation.
Children who are in ORR care for an
extended length of time may require
routine well-child evaluations.
The forms are to be used as
worksheets for generalist healthcare
providers and pediatric and other
medical specialty healthcare providers
to compile information that would
otherwise have been collected during
the health evaluation. Once completed,
the forms will be given to care provider
program staff for data entry into ORR’s
secure, electronic data repository. Data
will be used to monitor the health of
unaccompanied children while in ORR
care, for case management of any
identified illnesses/conditions and
ensure care provider program
compliance with ORR requirements.
ORR has merged the former IME Form
and Supplemental TB Screening Form
into one form, the Medical Assessment
Form which will be used during all
medical evaluations with a mid-level or
higher medical professional. ORR has
incorporated other changes to the forms
to streamline the flow of data collection,
clarify the intent of certain fields,
improve data quality, and ensure
alignment with ORR program guidance.
In addition, ORR has written
instructional letters for the Medical
Assessment Form and Dental
Assessment Form to explain the
E:\FR\FM\01JNN1.SGM
01JNN1
35884
Federal Register / Vol. 88, No. 105 / Thursday, June 1, 2023 / Notices
purpose of the forms and provide
general guidance on completion.
Respondents: Healthcare providers
(pediatricians, medical specialists, and
dentists), Care Provider Program Staff
Annual Burden Estimates
ESTIMATED OPPORTUNITY TIME FOR RESPONDENTS
Instrument
Medical Assessment Form
Dental Assessment Form ...
Total
number of
respondents
Respondent
Pediatricians, General ........
Medical specialist, General
Dentists ..............................
Total
number of
responses per
respondent
300
750
250
Average
burden
hours per
response
840
22
64
0.22
0.22
0.12
Total
burden
hours
166,320
10,890
5,760
Annual
burden
hours
55,440
3,630
1,920
Estimated Total Annual Burden
Hours: 60,990.
ESTIMATED RECORDKEEPING TIME
Instrument
Medical Assessment Form
completed by a medical
professional.
Medical Assessment form
not completed by a medical professional (information obtained via health
records).
Dental Assessment Form ...
Care Provider Program
Staff.
Estimated Total Annual Burden
Hours: 99,825.
ddrumheller on DSK120RN23PROD with NOTICES1
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])
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2023–11626 Filed 5–31–23; 8:45 am]
BILLING CODE 4184–45–P
19:19 May 31, 2023
Jkt 259001
Total
number of
responses per
respondent
265,815
88,605
500
100
0.17
25,500
8,500
500
32
0.17
8,160
2,720
Children’s Bureau,
Administration for Children and
Families, United States Department of
Health and Human Services.
AGENCY:
Request for public comments.
The Children’s Bureau,
Administration for Children and
Families (ACF), Department of Health
and Human Services, is proposing to
collect data for a new process and
outcome study, Strengthening Child
Welfare Systems to Achieve Expected
Child and Family Outcomes (SCWS).
SUMMARY:
Comments due within 60 days of
publication. 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.
DATES:
Frm 00060
Annual
burden
hours
0.33
Proposed Information Collection
Activity: Strengthening Child Welfare
Systems To Achieve Expected Child
and Family Outcomes Cross-Site
Evaluation (New Collection)
PO 00000
Total
burden
hours
537
Administration for Children and
Families
ACTION:
Average
burden
hours per
response
500
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
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.
VerDate Sep<11>2014
Total
number of
respondents
Respondent
Fmt 4703
Sfmt 4703
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.
ADDRESSES:
SUPPLEMENTARY INFORMATION:
Description: The SCWS study will
collect information to understand (1)
implementation processes and the
impact of grant interventions and (2)
examine whether and the degree to
which grant recipients were able to
address common Child and Family
Services Reviews (CFSR) outcomes.
Proposed data sources for this effort
include one survey and one focus group.
The survey will gather information to
understand the factors that supported or
hindered implementation, as well as
assess collaboration efforts and the
intended impact of grant interventions.
The focus groups will gather
information to understand
implementation of SCWS strategies and
interventions, successes and challenges,
and the perceived effect of the strategies
on short and long-term child welfare
outcomes, with specific attention to
CFSR outcomes related to permanency.
E:\FR\FM\01JNN1.SGM
01JNN1
]]>Agencies
[Federal Register Volume 88, Number 105 (Thursday, June 1, 2023)]
[Notices]
[Pages 35883-35884]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-11626]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Medical Assessment Form
and Dental Assessment Form (Office of Management and Budget 0970-0466)
AGENCY: Office of Refugee Resettlement, Administration for Children and
Families, United States Department of Health and Human Services.
ACTION: Request for public comments.
-----------------------------------------------------------------------
SUMMARY: The Administration for Children and Families (ACF) is
requesting a 3-year extension of the forms Medical Assessment Form
(formerly, the Initial Medical Exam (IME) Form and Supplemental
Tuberculosis (TB) Screening Form) and Dental Assessment Form (formerly,
the Dental Exam Form) (Office of Management and Budget (OMB) #0970-
0466, expiration December 31, 2023). Changes are proposed to the
currently approved forms.
DATES: Comments due within 60 days of publication. 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.
SUPPLEMENTARY INFORMATION:
Description: The ACF Office of Refugee Resettlement (ORR) places
unaccompanied children in their custody in care provider facilities
until unification with a qualified sponsor. Care provider facilities
are required to provide children with services such as mental health
services and health care. Each child must receive an IME within 2
business days of admission to an ORR care provider program or temporary
influx care facility. The IME satisfies Flores requirements which
require a ``complete medical examination, including a screening for
infectious disease. The purposes of the IME are to assess general
health, administer vaccinations in keeping with U.S. standards (also
required by Flores), identify health conditions that require further
attention, and detect contagious diseases of public health importance,
such as influenza or TB. The IME is performed by a licensed health care
provider and comprised of a complete medical history and physical exam,
risk, and age-based laboratory screenings, TB screenings and
immunizations. In addition, children may be referred to a medical
specialist by their healthcare provider for acute or chronic conditions
that require additional evaluation. Children who are in ORR care for an
extended length of time may require routine well-child evaluations.
The forms are to be used as worksheets for generalist healthcare
providers and pediatric and other medical specialty healthcare
providers to compile information that would otherwise have been
collected during the health evaluation. Once completed, the forms will
be given to care provider program staff for data entry into ORR's
secure, electronic data repository. Data will be used to monitor the
health of unaccompanied children while in ORR care, for case management
of any identified illnesses/conditions and ensure care provider program
compliance with ORR requirements.
ORR has merged the former IME Form and Supplemental TB Screening
Form into one form, the Medical Assessment Form which will be used
during all medical evaluations with a mid-level or higher medical
professional. ORR has incorporated other changes to the forms to
streamline the flow of data collection, clarify the intent of certain
fields, improve data quality, and ensure alignment with ORR program
guidance. In addition, ORR has written instructional letters for the
Medical Assessment Form and Dental Assessment Form to explain the
[[Page 35884]]
purpose of the forms and provide general guidance on completion.
Respondents: Healthcare providers (pediatricians, medical
specialists, and dentists), Care Provider Program Staff
Annual Burden Estimates
Estimated Opportunity Time for Respondents
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total number Average burden
Instrument Respondent Total number of responses hours per Total burden Annual burden
of respondents per respondent response hours hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medical Assessment Form................... Pediatricians, General...... 300 840 0.22 166,320 55,440
Medical specialist, General. 750 22 0.22 10,890 3,630
Dental Assessment Form.................... Dentists.................... 250 64 0.12 5,760 1,920
--------------------------------------------------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 60,990.
Estimated Recordkeeping Time
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total number Average burden
Instrument Respondent Total number of responses hours per Total burden Annual burden
of respondents per respondent response hours hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medical Assessment Form completed by a Care Provider Program Staff. 500 537 0.33 265,815 88,605
medical professional.
Medical Assessment form not completed by a 500 100 0.17 25,500 8,500
medical professional (information
obtained via health records).
Dental Assessment Form.................... 500 32 0.17 8,160 2,720
--------------------------------------------------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 99,825.
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: 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])
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2023-11626 Filed 5-31-23; 8:45 am]
BILLING CODE 4184-45-P
