Notice2023-16822
Submission for Office of Management and Budget Review; Medical Assessment Form and Dental Assessment Form (Office of Management and Budget 0970-0466)
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 7, 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 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.
Full Text
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<title>Federal Register, Volume 88 Issue 150 (Monday, August 7, 2023)</title>
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[Federal Register Volume 88, Number 150 (Monday, August 7, 2023)]
[Notices]
[Pages 52166-52167]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[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 <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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 <a href="/cdn-cgi/l/email-protection#6d04030b020e020101080e190402032d0c0e0b4305051e430a021b"><span class="__cf_email__" data-cfemail="ed84838b828e828181888e99848283ad8c8e8bc385859ec38a829b">[email protected]</span></a>. 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
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