Notice2023-11627
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)
Primary source
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Published
June 1, 2023
Issuing agencies
Health and Human Services DepartmentChildren and Families Administration
Abstract
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.
Full Text
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<title>Federal Register, Volume 88 Issue 105 (Thursday, June 1, 2023)</title>
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[Federal Register Volume 88, Number 105 (Thursday, June 1, 2023)]
[Notices]
[Pages 35879-35880]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[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 <a href="/cdn-cgi/l/email-protection#234a4d454c404c4f4f4640574a4c4d634240450d4b4b500d444c55"><span class="__cf_email__" data-cfemail="e28b8c848d818d8e8e8781968b8d8ca2838184cc8a8a91cc858d94">[email protected]</span></a>.
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.
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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
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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.
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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
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