[Federal Register Volume 88, Number 176 (Wednesday, September 13, 2023)]
[Notices]
[Pages 62798-62799]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-19795]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Serious Medical
Procedure Request (SMR) Form (Office of Management and Budget #: 0970-
0561)
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) Office of
Refugee Resettlement is requesting a 3-year extension of the Serious
Medical Procedure Request (SMR) Form (Office of Management and Budget
#0970-0561, expiration February 29, 2024). Revisions are proposed to
the currently approved form.
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: ACF's 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 healthcare.
Children identified as having a serious medical or dental condition may
require a procedure while in ORR custody to maintain and promote their
health and wellbeing. Procedures requiring general anesthesia,
surgeries, and invasive diagnostic procedures (e.g., cardiac
catheterization, invasive biopsy, amniocentesis) require advance ORR
approval. Before ORR can approve, data must be collected on the SMR
form and submitted to ORR by the care provider program (e.g., care
provider program's contact information, child demographics, authorized
consenter, unification status) and the lead surgeon (e.g., reason for
the procedure, potential risks/complications/adverse outcomes if the
procedure is not performed, timing, recovery timeframe, planned follow-
up procedures, hospital points of contact). ORR will waive the
completion of the SMR form if it is deemed to be in the best interest
of the child (e.g., during a hospitalization or emergency department
visit, related to a medical emergency).
The form is used as a worksheet for care provider program staff and
surgeons to compile information that would otherwise have been
collected during the health evaluation. Once completed, care provider
program staff upload the form and supporting documentation into ORR's
secure, electronic data record system and send an email notification to
ORR staff that the SMR packet is ready for review.
ORR has incorporated changes to the form to streamline the flow of
data collection, clarify intent and purpose of the form and fields,
improve data quality, and ensure alignment with ORR program policies.
The overall estimated time per form has increased by 1 minute and has
been adjusted to reflect a decrease by 1 minute for care provider
program staff and an increase by 2 minutes for surgeons.
Respondents: Care provider program staff, surgeons.
Annual Burden Estimates
There are currently about 250 programs that use the SMR form. Over
the past 2 years, an annual average of 115 SMR forms were submitted
across all programs. For each form, a care provider program staff
member completes page 1, and a surgeon completes pages 2 and 3.
Estimated Reporting 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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SMR Form.................................. Care Provider Program Staff. 250 1.38 .07 24.15 8
Surgeons.................... 250 1.38 .17 58.65 20
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Total Annual Burden Estimate.......... ............................ .............. .............. .............. .............. 28
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[[Page 62799]]
Estimated Recordkeeping Time
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Total number of Average burden
Instrument Respondent Total number of responses per hours per Total burden Annual burden
respondents respondent response hours hours
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SMR Form.......................... Care Provider Program Staff.... 250 1.38 .08 27.6 9
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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. 2023-19795 Filed 9-12-23; 8:45 am]
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