[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]


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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.

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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
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                                                                                           Total number   Average burden
                Instrument                           Respondent            Total number    of responses      hours per     Total burden    Annual burden
                                                                          of respondents  per respondent     response          hours           hours
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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
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    Estimated Total Annual Burden Hours: 60,990.

                                                              Estimated Recordkeeping Time
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                                                                                           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
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    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