[Federal Register Volume 88, Number 150 (Monday, August 7, 2023)]
[Notices]
[Pages 52172-52173]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-16840]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for Office of Management and Budget Review; Mental 
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 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 Office of Refugee Resettlement (ORR) 
places unaccompanied children in their custody in care provider 
programs until unification with a qualified sponsor. Care provider 
programs are required to provide children with a range of services 
including medical, dental, and mental health care. While in ORR 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 used as a worksheet for mental 
health specialists to compile information that would otherwise have 
been collected during the evaluation. Once completed, the form is 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 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 are 
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 used as worksheets by 
care provider program staff to record their findings when an exposure 
has been reported. Once completed, they will enter the data into ORR's 
secure data record system. Data is 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 requirements. In

[[Page 52173]]

addition, ORR has written an instructional letter for the Mental Health 
Assessment Form to explain the purpose of the form 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      Annual number   of responses      hours per     Annual burden
                                                  of respondents  per respondent     response          hours
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Mental Health Assessment Form.  Mental health                500             6.8            0.18             612
                                 professionals.
Public Health Investigation     Care provider                500               1            0.08             400
 Form: Active TB.                program staff.              500             200            0.08           8,000
Public Health Investigation     ................
 Form: Non-TB Illness.
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    Estimated Total Annual Burden Hours: 9,012.

                                          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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Mental Health Assessment Form.  Care provider                500             6.8            0.21             714
Public Health Investigation      program staff.              500               1            0.08             400
 Form: Active TB.               ................
Public Health Investigation                                  500             200            0.08           8,000
 Form: Non-TB Illness
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    Estimated Total Annual Burden Hours: 9,114.
    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. 2023-16840 Filed 8-4-23; 8:45 am]
BILLING CODE 4184-45-P