[Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)]
[Notices]
[Pages 46284-46285]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-19001]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: Initial Medical Exam Form and Initial Dental Exam Form.
    OMB No.: 0970-NEW.
    Description: The Administration for Children and Families' Office 
of Refugee Resettlement (ORR) places unaccompanied minors in their 
custody in licensed care provider facilities until reunification with a 
qualified sponsor. Care provider facilities are required to provide 
children with services such as

[[Page 46285]]

classroom education, mental health services, and health care. Pursuant 
to 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), care provider 
facilities, on behalf of ORR, shall arrange for appropriate routine 
medical and dental care, family planning services, and emergency health 
care services, including a complete medical examination (including 
screening for infectious disease) within 48 hours of admission, 
excluding weekends and holidays, unless the minor was recently examined 
at another facility; appropriate immunizations in accordance with the 
U.S. Public Health Service (PHS), Center for Disease Control; 
administration of prescribed medication and special diets; appropriate 
mental health interventions when necessary for each minor in their 
care.
    The forms are to be used as worksheets for clinicians, medical 
staff, and the health department to compile information that would 
otherwise have been collected during the initial medical or dental 
exam. Once completed, the forms will be given to shelter staff for data 
entry into ORR's electronic data repository known as the `UAC Portal'. 
Data will be used to record UC health on admission and for case 
management of any identified illnesses/conditions.
    Respondents: Clinicians, Health Department staff, Office of Refugee 
Resettlement Grantee staff.

                                             Annual Burden Estimates
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                                                                     Number of    Average burden
                   Instrument                        Number of     responses per     hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
                                   Estimated Respondent Burden for Responding
----------------------------------------------------------------------------------------------------------------
Initial Medical Exam Form (including Appendix A:             150             270            0.17           6,885
 Supplemental TB Screening Form)................
Initial Dental Exam Form........................             150              27            0.08             324
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    Estimated Total Burden Hours: 7,209.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
                   Instrument                        Number of     responses per     hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
                                  Estimated Respondent Burden for Recordkeeping
----------------------------------------------------------------------------------------------------------------
Initial Medical Exam Form (including Appendix A:             150             270            0.08           3,240
 Supplemental TB Screening Form)................
Initial Dental Exam Form........................             150              27            0.08             324
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden 3,564.
    Additional Information: Copies of the proposed collection may be 
obtained by writing to the Administration for Children and Families, 
Office of Planning, Research and Evaluation, 370 L'Enfant Promenade 
SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. All 
requests should be identified by the title of the information 
collection. Email address: [email protected].
    OMB Comment: OMB is required to make a decision concerning the 
collection of information between 30 and 60 days after publication of 
this document in the Federal Register. Therefore, a comment is best 
assured of having its full effect if OMB receives it within 30 days of 
publication. Written comments and recommendations for the proposed 
information collection should be sent directly to the following: Office 
of Management and Budget, Paperwork Reduction Project, Email: 
[email protected], Attn: Desk Officer for the Administration 
for Children and Families.

Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-19001 Filed 8-3-15; 8:45 am]
BILLING CODE 4184-01-P