[Federal Register Volume 88, Number 104 (Wednesday, May 31, 2023)]
[Notices]
[Pages 34858-34865]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-11487]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for Office of Management and Budget (OMB) Review; 
Monitoring and Compliance for ORR Care Provider Facilities (OMB #: 
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.

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[[Page 34859]]

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 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 its 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 is specific to forms that were 
recently approved through emergency approval for 180 days and 
additional proposed forms.

DATES: Comments due within 30 days of publication. OMB must make a 
decision about 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.

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. You can 
also obtain copies of the proposed collection of information by 
emailing [email protected]. Identify all emailed requests by 
the title of the information collection.

SUPPLEMENTARY INFORMATION:

Description

Current Proposed Revisions

Quarterly Unlicensed Facility Site Visits

     Unlicensed Facility Unaccompanied Child Case File 
Checklist (Form M-8A-UF)
    [cir] Admission Documents
    [ssquf] Inventory of Property and Cash: Corrected timeframe to 
align with policy. The inventory log should be completed ``within 2 
hours of admission'' not 24 hours.
    [ssquf] Clothing and Supplies: Added language to clarify what is 
covered under this item.
    [cir] Orientation Documents--Added new item checking for compliance 
with ORR's access to reproductive health care policy (also known as the 
Garza policy).
    [cir] Legal Information
    [ssquf] Acknowledgement of Receiving Legal Resource Guide: Changed 
``within 24 hours'' to ``within 24 hours of admission'' to clarify the 
policy requirement.
    [ssquf] EOIR Docs: Corrected name Executive Office for Immigration 
Review (``Review'' was missing)
    [cir] Medical Documents
    [ssquf] Authorization for Medical, Dental, and Mental Health Care: 
Changed ``within 24 hours'' to ``within 24 hours of admission'' to 
clarify the policy requirement.
    [ssquf] Documentation of Initial Medical Exam: Added ``within 48 
hours of admission'' to clarify policy requirement. Updated form 
expiration dates referenced. Added reminder that completion of the exam 
form is mandatory.
    [ssquf] Dental Exam Form: Updated form expiration dates referenced. 
Added reminder that completion of the form is mandatory.
    [ssquf] Supplemental TB Screening Form: Updated form expiration 
dates referenced. Added reminder that completion of the form is 
mandatory.
    [ssquf] Prescriptions: Changed ``log'' to ``record/log'' for 
clarity.
    [ssquf] Split Medical and Mental Health Records into two separate 
line items and added language to clarify the policy requirements.
    [cir] Assessments
    [ssquf] Unaccompanied Child Case Review: In first bullet point, 
clarified that it's the initial case review that is continuously 
updated until 30 calendar days after admission. In second bullet point, 
changed ``Every 30 calendars days . . .'' to ``Subsequently every 30 
calendar days . . .'' for clarity.
    [ssquf] Sponsor Assessment: Updated form expiration dates 
referenced. Changed ``Within 5 days'' to ``Must be initiated within 5 
days'' for clarity.
    [ssquf] Individual Service Plan: Changed ``Within 5 days'' to 
``Initial must be done within 5 days'' for clarity.
    [cir] Case Management--Recreation/Leisure: Changed ``log'' to 
``plan/log'' for clarity. Removed ``Effective 3/20/20--avoid community 
outing due to COVID-19'' since this is no longer applicable.
    [cir] Clinical Services--Added ``Disclosure Notice'' to reflect new 
policy requirement.
    [cir] Discharge
    [ssquf] Removed ``CDC Covid-19 Fact Sheet and Symptoms Sheet 
(Effective: 3/13/20)''--the revised sponsor letter has replaced that 
fact sheet.
    [ssquf] Added ``Post-18 Plan (if applicable)'' to align with policy 
and procedures.
    [ssquf] Family Reunification Packet: Updated form expiration dates 
referenced.
    [cir] Post-Discharge--Health Follow-Up Call: Updated effective 
dates for related guidance and added language clarify requirements.
     Unlicensed Facility Staff Secure Addendum to Case File 
Checklist (Form M-8D-UF)--Made minor edits for more precise language 
and changed formatting to bullet point lists for several items.
     Unlicensed Facility Personnel File Checklist (Form M-10A-
UF)
    [cir] Removed Training Directive per ORR Management section because 
it is no longer a requirement. This requirement was related to a 
specific webinar series on the topic of trauma-informed care. It was 
removed because it is duplicative of the requirements in the 
cooperative agreement that require training on strength-based behavior 
management and trauma-informed care approaches.
    [cir] Annual Trainings--Removed ``Hover for additional comments'' 
and corresponding comment that read ``How does the employee confirm 
comprehension of a training? i.e., quiz/test score or signature 
confirming comprehension'' because respondents reported the comments 
were unhelpful.
    [cir] Trainings Every Two Years per Cooperative Agreement--
    [ssquf] Medication Management: Added ``must also receive medication 
administration training''
    [ssquf] Removed ``Hover for additional comments'' and corresponding 
comment that read ``How does the employee confirm comprehension of a 
training? i.e., quiz/test score or signature confirming comprehension'' 
because respondents reported the comments were unhelpful.
    [ssquf] Rephrased ``Strength-based behavior management . . .'' to 
``Strength-based behavior management and trauma-informed care 
approaches'' to reflect current cooperative agreement requirements.
    Reinstated the following forms as the number of respondents has 
increased to more than nine respondents.
     Unlicensed Facility LTFC Monitoring Notes (Form M-6C-UF)
     Unlicensed Facility LTFC UC Case File Checklist (Form M-
8B-UF)
     Unlicensed Facility Staff Secure Addendum to Case File 
Checklist (Form M-8D-UF)
     Unlicensed Facility Foster Home Onsite Monitoring 
Checklist (M-9B-UF)

Quarterly Influx Care Facility Site Visits

    Added the below-listed alternate version of a form that was 
previously

[[Page 34860]]

approved by OMB but was removed from the information collection due to 
the number of respondents. Differences between the previously approve 
version and the alternate version are noted below.
     Influx Care Facility (ICF) Monitoring Notes (Form M-6E)
    [cir] Instructs monitors to review the facility's contract and 
statement of work (as opposed to the grant application and cooperative 
agreement) to reflect the funding method used for ICFs.
    [cir] Removes the following sections that are specific to grants.
    [ssquf] Fiscal year budget
    [ssquf] Key positions approved by the Project Officer
    [cir] Instructs monitors to review Serious Incident Reports (SIRs) 
from the past three months (as opposed to six months for shelters). 
This revision does not represent a reduction in SIR review, rather it 
reflects the ongoing SIR review process that occurs for ICFs. Monitors 
are performing site visits within the first three months of an ICR 
opening, which means that there would only be three months' worth of 
SIRs available during the initial site visit. Thereafter, three months 
will cover review of all SIRs since the last site visit. For example, 
if an ICF opened at the start of January, the initial site visit would 
occur by the end of March and SIRs generated from January through March 
would be reviewed. The next site visit would then occur at the end of 
June and during that visit SIRs generated April through June would be 
review. There would be no need to review six months' worth of SIRs at 
that time because the SIRs generated January through March would have 
already been reviewed. This pattern of quarterly reviews would continue 
while the ICF is operational.
    [cir] Reworded questions under the staffing plan section to be more 
specific to contracts.
    [cir] Added instruction for monitors to ensure that the facility is 
following their supervision plan (as reported in the ICF Site Visit 
Guide) for any staff whose relevant background checks are still 
pending. All staff must pass a public records criminal background check 
before hire. Staff with direct access to children must also pass an FBI 
fingerprint check and child abuse and neglect check (CA/N). However, 
staff may be hired provisionally before FBI or CA/N check results are 
received if at all times prior to receipt of results the staff member 
is within the sight and under the supervision of a staff member whose 
background checks are complete.
    [cir] Removed questions on State licensing.
    [cir] Removed section on mosquito control inspections. These 
inspections were originally established to address concerns with the 
Zika virus and are no longer performed.
    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.
     ICF Monitoring Site Visit Guide (Form M-7G)--Revisions 
were made to develop a more in-depth guide to reflect the size and 
complexity of influx sites. ORR plans to pilot this revised guide at 
ICFs and later decide on whether some or all of these revisions should 
be made to site visit guides for other levels of care. ORR will seek 
OMB approval for any future revision to other versions of the site 
visit guide.
    [cir] Reorganized and grouped questions under different sections, 
as well as rewording questions and instructions for clarity.
    [cir] Added text boxes and tables to make clear where the ICF 
should enter information.
    [cir] Added areas for the ICF to provide a brief overview of their 
site operations and list of subcontractors and their respective scopes 
of work.
    [cir] Expanded the list of facility points of contact requested.
    [cir] Added areas for the ICF to share any innovative and/or best 
practices implemented at the site and for the ICF to describe know 
deficiencies and/or areas for improvement.
    [cir] Added a table in the stakeholders section to prompt the ICF 
to provide more detail information about the frequency and type of 
collaboration as well as areas in need of improvement.
    [cir] Expanded section on personnel to include questions about 
personnel evaluation practices, whistleblower policies, and significant 
staffing changes, vacancies, deficiencies, and/or barriers to personnel 
capacity.
    [cir] In addition to providing copies of internal procedures, ICFs 
are asked to document information about the personnel responsible for 
internal reviews, protocols for responding to noncompliance, and how 
the ICF protects child privacy and confidentiality.
    [cir] Expands the question asking for the program's video 
monitoring policies and procedures to include all perimeter and 
internal security mechanisms.
    [cir] In addition to providing copies of emergency and evacuation 
plans, programs are asked to describe related procedures and provide 
information on emergency drills and after-action reviews.
    [cir] Added area for programs to describe their safety inspection 
practices and related drills, as well as an area to note concerns/
deficiencies related to safety and security.
    [cir] Added questions on the program's procedures for staffing 
cases, case status updates, and how case managers coordinate with other 
discipline (e.g., clinical).
    [cir] Split the question asking for the programs discharge 
procedures into several questions that prompt the program to 
specifically provide information about their procedures for transfers, 
age redetermination cases, and managing age outs.
    [cir] Added question that requests the program's procedures on 
facilitating visits among children in care.
    [cir] Added question asking the program to note any complex or 
especially vulnerable cases that required specialized service 
coordination.
    [cir] Added question asking the program to note any concerns/
deficiencies related to case management.
    [cir] Added new section on child supervision that asks for 
program's procedures on supervision plans and direct care staffing 
ratios, determining room/bed assignments, accurately monitoring the 
location of the child, and behavior management.
    [cir] Expanded the section that asks for a description of ancillary 
services to include recreational/leisure, religious, languages access, 
and phone call, visitation, and mail services (in addition to education 
and transportation).
    [cir] In addition to requesting copies of nutritional services 
procedures, adds a section for programs to describe these services. 
This includes food storage and safety protocols, how child dietary 
needs are meet, how cultural and religious preferences are meet, and 
any concerns/deficiencies.
    [cir] Expands the medical services section to add questions asking 
the program to describe their medical intakes procedures, onsite 
medical services, medication administration protocols, medical records 
system, the process for referring a child for offsite medical services, 
and vaccination procurement and administration protocols.
    [cir] Expands the mental health services section to add questions 
asking the program to describe their mental health intake procedures 
and onsite mental health services.
    [cir] In addition to requesting copies of prevention of sexual 
abuse procedures and related materials, asks the program to describe 
several specific aspects of their procedures.

[[Page 34861]]

    [cir] Breaks the general question asking the program to describe 
their SIR procedures into several more specific questions on who the 
responsible parties are for submitting reports, follow-up/addendums, 
and notification/coordination with external entities.
    [cir] Adds a new question asking the program how long it took to 
complete the form.
    [cir] Updates the type of background check documentation requested 
to align with background check requirements specific to influx care 
facilities.
     ICF Personnel File Checklist (Form M-10E)
    [cir] Pre-Service Trainings--Removed ``State licensed required 
trainings'' because ICF are not State-licensed.
    [cir] Removed Training Directive per ORR Management section because 
it is no longer a requirement. This requirement was related to a 
specific webinar series on the topic of trauma-informed care. It was 
removed because it is duplicative of a new item added to the annual 
trainings section that monitors for training on strength-based behavior 
management and trauma-informed care approaches.
    [cir] Annual Trainings--Added ``Strengths-based behavior management 
approaches and trauma-informed care approaches, such as using conflict 
resolution, problem solving skills, using rewards and consequences, de-
escalation techniques and helping children and youth learn 
accountability and self-control.''
    [cir] Removed Trainings Every Two Years per Cooperative Agreement 
section because ICFs are funded through contracts and not grants.

Prevention of Sexual Abuse (PSA) Audits

    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 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

    The below noted revisions were made to existing forms in this 
collection to better align with ORR policies and procedures and 
strengthen monitoring protocols.
     FFS Compliance and Safety Site Visit Report (Form M-3A)
    [cir] Converted the original Excel version into a web-based format.
    [cir] Removed the following items that are best practices but not 
explicitly required in ORR policy/procedures:
    [ssquf] Client's rights are posted in language unaccompanied child 
understands
    [ssquf] Daily schedule is posted in language unaccompanied child 
understands
    [cir] Added the following fields
    [ssquf] ORR Region
    [ssquf] Please note the number of children in the group being 
interviewed
    [ssquf] Please note the estimate age range of the group of children 
you interviewed
    [cir] Renamed field ``FFS Name'' to ``ORR Representative Name''
    [cir] Consolidated separate questions regarding compliance with 
staffing ratios into two questions (``Is the program compliant with all 
ORR staffing ratios?'' and ``Are there staffing concerns?'') and added 
field ``If Yes, please confirm you elevated this to the Project Officer 
for resolution or to address UC capacity.''
     PSA Unaccompanied Child Incident Review (Form M-5A)--
Corrected typo in the When did the incident occur? field dropdown 
options, changing ``pm'' to ``am.''
     PSA Adult Incident Review (Form M-5B)--Corrected typo in 
the When did the incident occur? field dropdown options, changing 
``pm'' to ``am.''
     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. These 
inspections were originally established to address concerns with the 
Zika virus and are no longer performed.
    [cir] Added Personnel and Volunteer List as a supplemental tool to 
use with this instrument. This list directly corresponds to the 
information requested in the Background Checks section of the guide.
     Foster Care Site Visit Guide (Form M-7C)
    [cir] Retitled form ``Foster Care Site Visit Guide.'' The former 
title was ``Long Term Foster Care Site Visit Guide.''
    [cir] Under Program Management--Added requirement to describe 
internal policies and procedures related to referral and placement.
    [cir] Under Child Protection--Rephrased question 3 from ``Describe 
the State's licensing child maltreatment reporting requirements. 
(Provide state link to licensing requirements for reporting 
requirements.)'' to ``Describe the State's child maltreatment reporting 
requirements. (Provide a link to the state's mandatory reporting laws/
rules. Also, include who classifies as a mandatory reporter in your 
state.)''
    [cir] Under Facility, Foster Homes, and Food Services
    [ssquf] Retitled ``Facility, Foster Homes, and Food Services 
section to ``Foster Homes.''
    [ssquf] Moved the two questions unrelated to foster homes into 
their own section titled ``Facility and Food Services'' and added 
additional instructions to clarify what programs are expected to 
include in their description of the facility space.
    [cir] Under Case Management--Clarified what programs must provide 
related to their procedures on post-18 planning.
    [cir] Under Background Checks--Reordered and rephrased some of the 
questions.
    [cir] Under Health Services--Added examples of communicable 
diseases.
    [cir] Under Problems Encountered--Removed requirement to provide 
list of commonly used partnerships and services.
    [cir] In the list of requested materials
    [ssquf] Added educational curriculum and weekly class schedule
    [ssquf] Reformatted the item requesting various policies and 
procedures into a bullet point list
    [cir] Added a note clarifying that ORR will request foster parent 
documentation for foster homes that are visited during the site visit.
     Personnel File Checklist (Form M-10A)
    [cir] Removed Training Directive per ORR Management section because 
it is no longer a requirement. This requirement was related to a 
specific webinar series on the topic of trauma-informed care. It was 
removed because it is duplicative of the requirements in the 
cooperative agreement that require

[[Page 34862]]

training on strength-based behavior management and trauma-informed care 
approaches.
    [cir] Annual Trainings--Removed ``Hover for additional comments'' 
and corresponding comment that read ``How does the employee confirm 
comprehension of a training? i.e. quiz/test score or signature 
confirming comprehension'' because respondents reported the comments 
were unhelpful.
    [cir] Trainings Every Two Years per Cooperative Agreement--
    [ssquf] Medication Management: Added ``must also receive medication 
administration training''
    [ssquf] Removed ``Hover for additional comments'' and corresponding 
comment that read ``How does the employee confirm comprehension of a 
training? i.e. quiz/test score or signature confirming comprehension'' 
because respondents reported the comments were unhelpful.
    [ssquf] Rephrased ``Strength-based behavior management . . .'' to 
``Strength-based behavior management and trauma-informed care 
approaches'' to reflect current cooperative agreement requirements.
     Foster Parent Checklist (Form M-10D)
    [cir] Under General Documentation--Added requirement for monitors 
to check for completed foster home study assessments/inspections.
    [cir] General Documentation
    [ssquf] Foster Home License: Added ``(Effective: 2022; please 
reference the program-specific Cooperative Agreement)'' to clarify 
requirements in the current cooperative agreement.
    [ssquf] Added new item ``Completed Foster Home Study Assessments/
Inspections (Effective: 2022; please reference the program-specific 
Cooperative Agreement)'' to align with requirements in the current 
cooperative agreement.
    [ssquf] Added new item ``Foster Parent Agreement (signed; 
Effective: 2022; please reference the program-specific Cooperative 
Agreement)'' to align with requirements in the current cooperative 
agreement.
    [cir] Pre-Service Trainings--ORR Standards to Prevent, Detect, and 
Respond to SA and SH involving unaccompanied children: Removed ``New 
employees must complete training before hire.'' to align with current 
guidance that allows hire (but no interaction with children) before 
training.
     Foster Parent Questionnaire (Form M-11O)
    [cir] Added instructions on the first page.
    [cir] Reordered some questions.
    [cir] Clarified that when asking the foster parent what information 
they received on the child, that ORR is asking about information on the 
child's individual services needs and provided examples (education, 
health, dietary, religious, etc.).
    [cir] Added example of independent living to question asking what 
types of activities the child participates in.
     Unaccompanied Child Questionnaire--Ages 6-12 Years Old 
(Form M-12As)--Updated Spanish translation to match currently-approved 
English version.
     Unaccompanied Child Questionnaire--Ages 13 and Older (Form 
M-12Bs)--Updated Spanish translation to match currently-approved 
English version.
    ORR is requesting that the following instruments be removed from 
this information collection:
     Remote Monitoring Site Visit Guide (Form M-7B)--Remove 
from information collection. This instrument was created for use during 
the height of the COVID-19 pandemic. Monitors have resumed in-person 
site visits and the instrument is no longer needed.
     Long Term Foster Care Remote Site Visit Guide (Form M-
7D)--Remove from information collection. This instrument was created 
for use during the height of the COVID-19 pandemic. Monitors have 
resumed in-person site visits and the instrument is no longer needed.
    Voluntary Agency Site Visit Guide (Form M-7F)--Remove from 
information collection. This instrument is completed by less than 10 
respondents and therefore not subject to PRA.

Revisions Approved Under Emergency Approval

    Added Interpreter Questionnaire (Form M-11P), which is currently 
approved under OMB #0970-0558, to this information collection.

Quarterly Unlicensed Facility Site Visits

    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-8A-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. These inspections were 
originally established to address concerns with the Zika virus and are 
no longer performed.
    [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.
    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. These 
inspections were originally established to address concerns with the 
Zika virus and are no longer performed.
     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.

[[Page 34863]]

    [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.
    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  Average burden
          Information collection title             Annual number   of responses      hours per     Annual total
                                                  of respondents  per respondent     response      burden hours
----------------------------------------------------------------------------------------------------------------
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 Guide (Forms M-7A)...................             114             1.0           13.00        1,482.00
LTFC Site Visit Guide (Forms M-7C)..............              18             1.0            6.00          108.00
Home Study and Post-Release Services Site Visit               30             1.0            6.00          180.00
 Guide (Form M-7E)..............................
ICF Monitoring Site Visit Guide (Form M-7G).....               3               1           15.00           45.00
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).......................................
Unlicensed Facility LTFC UC Case File Checklist                1              20            1.00           20.00
 (Form M-8B-UF).................................
Unlicensed Facility Staff Secure Addendum Case                 2              20            1.00           40.00
 File Checklist (Form M-8B-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 (Form              88             1.0            0.50           44.00
 M-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).....................

[[Page 34864]]

 
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)..................
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.........  ..............  ..............  ..............       14,184.65
----------------------------------------------------------------------------------------------------------------


                        Estimated Burden Hours for Contractor Interim Final Rule Auditors
----------------------------------------------------------------------------------------------------------------
                                                                   Annual number  Average burden
          Information collection title             Annual number   of responses      hours per     Annual total
                                                  of respondents  per respondent     response      burden hours
----------------------------------------------------------------------------------------------------------------
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.........  ..............  ..............  ..............        4,032.00
----------------------------------------------------------------------------------------------------------------


                      Estimated Burden Hours for Contractor Monitors--Unlicensed Facilities
----------------------------------------------------------------------------------------------------------------
                                                                   Annual number  Average burden
          Information collection title             Annual number   of responses      hours per     Annual total
                                                  of respondents  per respondent     response      burden hours
----------------------------------------------------------------------------------------------------------------
Unlicensed Facility Monitoring Notes (Form M-6A-              18            12.0           12.00        2,592.00
 UF)............................................
Unlicensed Facility LTFC Monitoring Notes (Form               18             0.2           12.00           43.20
 M-6C-UF).......................................
ICF Monitoring Notes (Form M-6E-UF).............              18             0.7           12.00          151.20
Unlicensed Facility Site Visit Guide (Form M-7A-              18            12.0           29.00        6,264.00
 UF)............................................
ICF Monitoring Site Visit Guide (Form M-7G).....              18             0.7           29.00          365.40
Unlicensed Facility UC Case File Checklist (Form              18            62.0            6.00        6,696.00
 M-8A-UF).......................................
Unlicensed Facility LTFC UC Case File Checklist               18             1.0            6.00          108.00
 (Form M-8B-UF).................................
Unlicensed Facility Staff Secure Addendum to                  18             2.0            6.00          216.00
 Case File Checklist (Form M-8D-UF).............
Unlicensed Facility On-Site Monitoring Checklist              18            12.0            4.00          864.00
 (Form M-9A-UF).................................
Unlicensed Facility Foster Home Onsite                        18             0.4            4.00           28.80
 Monitoring Checklist (Form M-9B-UF)............
Unlicensed Facility Personnel File Checklist                  18            50.0            1.00          900.00
 (Form M-10A-UF)................................
ICF Personnel File Checklist (Form M-10E).......              18               3            1.00           54.00
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)..................

[[Page 34865]]

 
Unlicensed Facility Case Coordinator                          18            12.0            1.00          216.00
 Questionnaire (Form M-13E-UF)..................
                                                 ---------------------------------------------------------------
    Estimated Annual Burden Hours Total.........  ..............  ..............  ..............       21,126.60
----------------------------------------------------------------------------------------------------------------


           Estimated Burden Hours for Contractor Monitors--Previously Approved for Licensed Facilities
----------------------------------------------------------------------------------------------------------------
                                                                   Annual number  Average burden
          Information collection title             Annual number   of responses      hours per     Annual total
                                                  of respondents  per respondent     response      burden hours
----------------------------------------------------------------------------------------------------------------
Corrective Action Report (Form M-1).............               4            25.0           22.00        2,200.00
Site Visit Guide (Forms M-7A)...................               4             7.0           29.00          812.00
LTFC Site Guide (Forms M-7C)....................               4             1.0           21.00           84.00
Home Study and Post-Release Services Site Visit                4             2.0           21.00          168.00
 Guide (Form M-7E)..............................
Personnel File Checklist (Form M-10A)...........               4            31.0            1.00          124.00
Supplement to Personnel File Checklist (Form M-                4            54.0            1.00          216.00
 10B)...........................................
Home Study and Post-Release Services Personnel                 4             6.0            1.00           24.00
 File Checklist (Form M-10C)....................
Long Term Foster Care Foster Parent Checklist                  4             2.0            0.50            4.00
 (Form M-10D)...................................
Program Staff Questionnaires (Forms M-11A to M-                4            54.0            1.00          216.00
 11K)...........................................
Secure Detention Officer Questionnaire (Form M-                4             0.1            1.00            0.40
 11L)...........................................
Long Term Foster Care Home Finder Questionnaire                4             1.0            1.00            4.00
 (Form M-11M)...................................
Long Term Foster Care Independent Living Life                  4             1.0            1.00            4.00
 Skills Staff Questionnaire (Form M-11N)........
Long Term Foster Care Foster Parent                            4             2.0            0.75            6.00
 Questionnaire (Form M-11O).....................
UC Questionnaires (Forms M-12A to M-12B & M-12E)               4            33.0            0.50           66.00
Long Term Foster Care Client Questionnaire (Form               4             5.0            0.50           10.00
 M-12C).........................................
Secure Client Questionnaire (Form M-12D)........               4             0.4            0.50            0.80
Home Study and Post-Release Services Director                  4             2.0            0.50            4.00
 Questionnaire (Form M-13A).....................
Home Study and Post-Release Services Caseworker                4             6.0            1.00           24.00
 Questionnaire (Form M-13B).....................
Legal Service Provider Questionnaire (Form M-                  4             7.0            1.00           28.00
 13C)...........................................
Long Term Foster Care Legal Service Provider                   4             1.0            0.75            3.00
 Questionnaire (Form M-13D).....................
Case Coordinator Questionnaire (Form M-13E).....               4             8.0            1.00           32.00
Monitoring Visit (Form M-14)....................               4             8.0            0.50           16.00
Monitoring Schedule (Form M-15).................               4             0.3            0.30            0.36
                                                 ---------------------------------------------------------------
    Estimated Annual Burden Hours Total.........  ..............  ..............  ..............        4,046.56
----------------------------------------------------------------------------------------------------------------

    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. 2023-11487 Filed 5-30-23; 8:45 am]
BILLING CODE 4184-45-P