4184-45-P
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for Office of Management and Budget (OMB)
Review; Revisions to two Information Collections:

Medical

Assessment Form and Dental Assessment Form (OMB# 0970-0466)
and Mental Health Assessment Form and Public Health
Investigation Forms, Tuberculosis and Non-Tuberculosis
Illness (OMB# 0970-0509)
AGENCY:

Office of Refugee Resettlement, Administration for

Children and Families, U.S. Department of Health and Human
Services.
ACTION:
SUMMARY:

Request for public comments.
The Administration for Children and Families

(ACF) is proposing a change of the described potential uses
of data for two information collections:

Medical

Assessment Form and Dental Assessment Form (OMB #: 09700466) and Mental Health Assessment Form and Public Health
Investigation Forms, Tuberculosis and Non-Tuberculosis
Illness (OMB#:
DATES:

0970-0509).

Comments due [INSERT DATE 30 DAYS AFTER DATE OF

PUBLICATION IN THE FEDERAL REGISTER].

OMB has agreed to

make a decision about the updates to these collections of
information following a public comment period of 30 days.
Therefore, a comment is best assured of having its full
effect if ACF receives it within 30 days of publication.

ADDRESSES:

You can obtain copies of the proposed changes

and submit comments by emailing infocollection@acf.hhs.gov.
Identify all requests by the title of the information
collection.
SUPPLEMENTARY INFORMATION:
Description:

The following two ORR information collections

capture health data on children in ORR care:
•

Medical Assessment Form and Dental Assessment Form

•

Mental Health Assessment Form and Public Health
Investigation Form:

Active TB, and Public Health

Investigation Form:

Non-TB Illness

The current description of purpose and use of the data
collected states that confidential and sensitive health
information will only be shared with external stakeholders
(including other Federal agencies) for public health
purposes (e.g., contact investigations to identify children
exposed to a reportable infectious disease).

However, ORR

has identified a need to share the health data of specific
unaccompanied children with the Department of Homeland
Security (DHS) which falls outside of the stated
limitations.

The need to communicate with DHS occurs when

a newly referred child arrives at an ORR facility ill or
requires emergent/urgent healthcare services shortly after
placement and ORR was not notified in advance.

For DHS to

investigate the event, ORR must share confidential and
sensitive health information including the child’s alien

number, name, signs/symptoms, diagnoses, and date of
diagnosis.

The goal of this data sharing effort is to

identify areas of potential improvement in delivery of
healthcare services and continuity of care for children
transferred from DHS to Health and Human Services custody.
Respondents: Healthcare providers (pediatricians, medical
specialists, and dentists), 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:

No changes.

For current burden

estimates, see information below:
•

https://www.reginfo.gov/public/do/PRAViewICR?ref_
nbr=202312-0970-002

•

https://www.reginfo.gov/public/do/PRAViewICR?ref_
nbr=202312-0970-003

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 C. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2024-14556 Filed: 7/1/2024 8:45 am; Publication Date: 7/2/2024]