Proposed Information Collection Activity; Medical Health Assessment Form and Public Health Investigation Forms, Tuberculosis and Non-Tuberculosis Illness (Office of Management and Budget 0970-0509), 35879-35880 [2023-11627]
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Federal Register / Vol. 88, No. 105 / Thursday, June 1, 2023 / Notices
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions, the accuracy of
the estimated burden, ways to enhance
the quality, utility, and clarity of the
information to be collected, and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by July 3, 2023.
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.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, please access the CMS PRA
website by copying and pasting the
following web address into your web
browser: https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.
FOR FURTHER INFORMATION CONTACT:
William Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
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SUMMARY:
VerDate Sep<11>2014
17:37 May 31, 2023
Jkt 259001
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension of currently
approved collection; Title of
Information Collection: Independent
Diagnostic Testing Facilities (IDTFs)
Site Investigation Collection; Use: The
purpose of the site investigation is to
ensure that the IDTF is in compliance
with the provisions of 42 CFR 410.33, as
well as all other applicable Federal,
State and local laws and regulations. It
is also used to verify the information the
IDTF furnished on its CMS–855B
enrollment application. Sections
1814(a), 1815(a), and 1833(e) of the Act
require the submission of information
necessary to determine the amounts due
to a provider or other person. To fulfill
this requirement, CMS must collect
information on any IDTF supplier who
submits a claim to Medicare or who
applies for a Medicare billing number
before allowing the IDTF to enroll. This
information must, minimally, clearly
identify the provider and its’ place of
business as required by CFR 424.500
(Requirements for Establishing and
Maintaining Medicare Billing Privileges)
and provide all necessary
documentation to show they are
qualified to perform the services for
which they are billing. The site
inspection form allows inspectors to
verify the information using a
standardized information collection
methodology. Form Number: CMS–
10221 (OMB control number: 0938–
1029); Frequency: Occasionally;
Affected Public Sector: Private Sector
(Business or other for-profits and Notfor-profit institutions); Number of
Respondents: 652; Total Annual
Responses: 652; Total Annual Hours:
1,304. (For policy questions regarding
this collection contact Alisha Sanders at
410–786–0671).
Dated: May 26, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2023–11662 Filed 5–31–23; 8:45 am]
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35879
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Medical Health Assessment
Form and Public Health Investigation
Forms, Tuberculosis and NonTuberculosis Illness (Office of
Management and Budget 0970–0509)
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
Mental Health Assessment Form
(formerly the Health Assessment Form)
and Public Health Investigation Forms,
Active Tuberculosis (TB) and Non-TB
Illness (Office of Management and
Budget (OMB) #0970–0509, 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 mental health
services and health care. Children meet
with onsite mental health counselors on
a regular basis. If a child is identified as
potentially having a more serious
mental health condition, they are
referred to a psychiatrist, psychiatric
nurse practitioner or physician’s
assistant, licensed psychologist, or any
other community-based licensed mental
health provider (e.g., social worker).
The Mental Health Assessment form
is to be used as a worksheet for mental
health specialists to compile
information that would otherwise have
been collected during the evaluation.
Once completed, the form will be given
to care provider program staff for data
SUMMARY:
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35880
Federal Register / Vol. 88, No. 105 / Thursday, June 1, 2023 / Notices
entry into ORR’s secure, electronic data
repository. Data will be used to monitor
the health of unaccompanied children
while in ORR care and for case
management of any identified
conditions.
Children may be exposed to
nationally reportable infectious diseases
during the journey to the U.S., while in
the custody of the Customs and Border
Protection after crossing the border, or
during their stay in ORR custody. Public
health interventions such as quarantine,
vaccination or lab testing may be
initiated to reduce possible disease
transmission. Following an exposure,
children will be assessed onsite by care
provider program staff and if found to
be symptomatic, referred to a healthcare
provider for evaluation.
The Public Health Investigation
Forms are to be used as worksheets by
care provide program staff to record
their findings when an exposure has
been reported. Once completed, they
will enter the data into ORR’s secure
data repository. Data will be used to
track disease transmission and health
outcomes of children in ORR care.
ORR has repurposed the former
Health Assessment Form from a medical
and mental health information
collection to a mental health collection
only, and renamed it the Mental Health
Assessment Form. 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
Health Assessment Form to explain the
purpose of the forms and provide
general guidance on completion to
healthcare providers.
Respondents: Mental health
professionals (psychiatrists, psychiatric
nurse practitioners or physician’s
assistants, licensed psychologist or any
other community based licensed mental
health provider (e.g., social worker)),
care provider program staff.
Annual Burden Estimates:
ESTIMATED OPPORTUNITY TIME FOR RESPONDENTS
Instrument
Mental Health Assessment
Form.
Public Health Investigation
Form: Active TB.
Public Health Investigation
Form: Non-TB Illness.
Estimated Total Annual
Burden Hours.
Total
number of
respondents
Respondent
Total
number of
responses per
respondent
Average
burden
hours per
response
Total
burden
hours
Annual
burden
hours
Mental health professionals
500
6.8
0.18
1,836
612
Care provider program staff
500
1
0.08
1,200
400
.............................................
500
200
0.08
24,000
8,000
.............................................
........................
........................
........................
........................
9,012
Average
burden
hours per
response
Total
burden
hours
ESTIMATED RECORDKEEPING TIME
Instrument
Mental Health Assessment
Form.
Public Health Investigation
Form: Active TB.
Public Health Investigation
Form: Non-TB Illness.
ddrumheller on DSK120RN23PROD with NOTICES1
Estimated Total Annual
Burden Hours.
Care provider program staff
.............................................
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
Total
number of
respondents
Respondent
17:37 May 31, 2023
Jkt 259001
Total
number of
responses per
respondent
500
6.8
0.21
2,142
714
500
1
0.08
1200
400
500
200
0.08
24,000
8,000
........................
........................
........................
........................
9,114
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. 2023–11627 Filed 5–31–23; 8:45 am]
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Annual
burden
hours
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Office of Refugee
Resettlement Annual Survey of
Refugees (Office of Management and
Budget #0970–0033)
Office of Refugee Resettlement,
Administration for Children and
Families, United States Department of
Health and Human Services.
ACTION: Request for public comments.
AGENCY:
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]]>Agencies
[Federal Register Volume 88, Number 105 (Thursday, June 1, 2023)]
[Notices]
[Pages 35879-35880]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-11627]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Medical Health
Assessment Form and Public Health Investigation Forms, Tuberculosis and
Non-Tuberculosis Illness (Office of Management and Budget 0970-0509)
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 Mental Health Assessment Form
(formerly the Health Assessment Form) and Public Health Investigation
Forms, Active Tuberculosis (TB) and Non-TB Illness (Office of
Management and Budget (OMB) #0970-0509, 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 mental health services and health
care. Children meet with onsite mental health counselors on a regular
basis. If a child is identified as potentially having a more serious
mental health condition, they are referred to a psychiatrist,
psychiatric nurse practitioner or physician's assistant, licensed
psychologist, or any other community-based licensed mental health
provider (e.g., social worker).
The Mental Health Assessment form is to be used as a worksheet for
mental health specialists to compile information that would otherwise
have been collected during the evaluation. Once completed, the form
will be given to care provider program staff for data
[[Page 35880]]
entry into ORR's secure, electronic data repository. Data will be used
to monitor the health of unaccompanied children while in ORR care and
for case management of any identified conditions.
Children may be exposed to nationally reportable infectious
diseases during the journey to the U.S., while in the custody of the
Customs and Border Protection after crossing the border, or during
their stay in ORR custody. Public health interventions such as
quarantine, vaccination or lab testing may be initiated to reduce
possible disease transmission. Following an exposure, children will be
assessed onsite by care provider program staff and if found to be
symptomatic, referred to a healthcare provider for evaluation.
The Public Health Investigation Forms are to be used as worksheets
by care provide program staff to record their findings when an exposure
has been reported. Once completed, they will enter the data into ORR's
secure data repository. Data will be used to track disease transmission
and health outcomes of children in ORR care.
ORR has repurposed the former Health Assessment Form from a medical
and mental health information collection to a mental health collection
only, and renamed it the Mental Health Assessment Form. 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 Health Assessment Form to
explain the purpose of the forms and provide general guidance on
completion to healthcare providers.
Respondents: Mental health professionals (psychiatrists,
psychiatric nurse practitioners or physician's assistants, licensed
psychologist or any other community based licensed mental health
provider (e.g., social worker)), 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
--------------------------------------------------------------------------------------------------------------------------------------------------------
Mental Health Assessment Form............. Mental health professionals. 500 6.8 0.18 1,836 612
Public Health Investigation Form: Active Care provider program staff. 500 1 0.08 1,200 400
TB.
Public Health Investigation Form: Non-TB ............................ 500 200 0.08 24,000 8,000
Illness.
-------------------------------------------------------------------------------
Estimated Total Annual Burden Hours... ............................ .............. .............. .............. .............. 9,012
--------------------------------------------------------------------------------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------------------------------------------------------------------------------
Mental Health Assessment Form............. Care provider program staff. 500 6.8 0.21 2,142 714
Public Health Investigation Form: Active 500 1 0.08 1200 400
TB.
Public Health Investigation Form: Non-TB 500 200 0.08 24,000 8,000
Illness.
-------------------------------------------------------------------------------
Estimated Total Annual Burden Hours... ............................ .............. .............. .............. .............. 9,114
--------------------------------------------------------------------------------------------------------------------------------------------------------
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. 2023-11627 Filed 5-31-23; 8:45 am]
BILLING CODE 4184-45-P
