[Federal Register Volume 88, Number 150 (Monday, August 7, 2023)]
[Notices]
[Pages 52166-52167]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-16822]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for Office of Management and Budget Review; Medical 
Assessment Form and Dental Assessment Form (Office of Management and 
Budget 0970-0466)

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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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 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: The ACF ORR places unaccompanied children in 
their custody in care provider programs until unification with a 
qualified sponsor. Care provider programs are

[[Page 52167]]

required to provide children with a range of services including 
medical, dental, and mental health care. Each child must receive an 
initial medical exam (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 specialist by their healthcare 
provider for acute or chronic conditions that require additional 
evaluation. If a child is in ORR custody 60 to 90 days after admission, 
they must receive an initial dental exam, or sooner if directed by 
state licensing requirements. Children who are in ORR care for an 
extended length of time may require urgent or routine medical and 
dental well-child evaluations.
    The forms are 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 are 
given to care provider program staff for entry into ORR's secure, 
electronic data record system. Data is used to monitor the health of 
unaccompanied children while in ORR care, for case management of any 
identified illnesses/conditions and to 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 
requirements. In addition, ORR has written instructional letters for 
the Medical Assessment Form and Dental Assessment Form to explain the 
purpose of the forms and provide general guidance on completion to 
healthcare providers.
    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      Annual number   of responses      hours per     Annual burden
                                                  of respondents  per respondent     response          hours
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Medical Assessment Form.......  Pediatricians,               300             840            0.22          55,440
                                 General.                    750              22            0.22           3,630
                                Medical
                                 specialist,
                                 General.
Dental Assessment Form........  Dentists........             250              64            0.12           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      Annual number   of responses      hours per     Annual burden
                                                  of respondents  per respondent     response          hours
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Medical Assessment Form         Care Provider                500             537            0.33          88,605
 completed by a medical          Program Staff.              500             100            0.17           8,500
 professional.                  ................
Medical Assessment Form not
 completed by a medical
 professional (information
 obtained via health records).
Dental Assessment Form........                               500              32            0.17           2,720
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    Estimated Total Annual Burden Hours: 99,825.
    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. 2023-16822 Filed 8-4-23; 8:45 am]
BILLING CODE 4184-45-P