[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]


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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.

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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
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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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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
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                                                              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
--------------------------------------------------------------------------------------------------------------------------------------------------------
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
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    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