[Federal Register Volume 80, Number 74 (Friday, April 17, 2015)]
[Notices]
[Pages 21245-21246]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-08835]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Comment Request
Proposed Projects
Title: Initial Medical Exam Form and Initial Dental Exam Form.
OMB No.: New.
Description
Pursuant to 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),
licensed programs, on behalf of the Administration for Children and
Families' Office of Refugee Resettlement (ORR), shall arrange for
appropriate routine medical and dental care, family planning services,
and emergency health care services, including a complete medical
examination (including screening for infectious disease) within 48
hours of admission, excluding weekends and holidays, unless the minor
was recently examined at another facility; appropriate immunizations in
accordance with the U.S. Public Health Service (PHS), Center for
Disease Control; administration of prescribed medication and special
diets; appropriate mental health interventions when necessary for each
minor in its care.
The forms are to be used as worksheets for clinicians, medical
staff, and the health department to compile information that would
otherwise have been collected during the initial medical or dental
exam. Once completed, the forms will be given to shelter staff for data
entry into ORR's electronic data repository known as `The Portal.' Data
will be used to record UC health on admission and for case management
of any identified illnesses/conditions.
Respondents: Clinicians, Health Department staff, Office of Refugee
Resettlement Grantee staff.
[[Page 21246]]
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Number of responses per hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Initial Medical Exam Form (including Appendix A: 206 155 .25 7982.5
Supplemental TB Screening Form)................
Initial Dental Exam Form........................ 116 28 .08 259.8
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 8242.3.
In compliance with the requirements of Section 506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Administration for Children and
Families is soliciting public comment on the specific aspects of the
information collection described above. Copies of the proposed
collection of information can be obtained and comments may be forwarded
by writing to the Administration for Children and Families, Office of
Planning, Research and Evaluation, 370 L'Enfant Promenade SW.,
Washington, DC 20447, Attn: ACF Reports Clearance Officer. Email
address: [email protected]. All requests should be identified
by the title of the information collection.
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.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-08835 Filed 4-16-15; 8:45 am]
BILLING CODE 4184-01-P