Health Assessment Form, Public Health Investigation Form: Non-TB Illness, and Public Health Investigation Form: Active TB
No material or nonsubstantive change to a currently approved collection
No
Regular
05/09/2022
table that charts list comparision
Requested
Previously Approved
12/31/2023
12/31/2023
108,225
108,225
38,454
38,454
0
0
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), the Administration for Children and Familiesâ Office of Refugee Resettlement (ORR), on behalf of the Department of Health and Human Services (DHHS), is directed to provide unaccompanied children in their custody with medical, mental health, and dental care until reunification with a qualified sponsor. Unaccompanied minors in ORR custody are placed in grantee-operated licensed care provider facilities that arrange for appropriate emergent, routine and as-needed healthcare as directed by ORR, including âsick visitsâ, follow-up immunizations, urgent healthcare, and family planning services. Initial medical and dental and routine dental care are also required services for minors in ORR custody (OMB #0970-0466).
ORR requires grantees to maintain records on each child to ensure that health-related evaluations, diagnosed conditions/illnesses, immunizations, and treatments are documented and included in the childâs discharge packet at the time of reunification. ORR requires the Health Assessment and Public Health Investigation information collections to implement and maintain compliance with the Flores Settlement Agreement.
To capture behavioral and mental health concerns and symptoms during these evaluations, disorder-based mental health diagnosis options were listed in the Behavioral and Mental Health Concerns category within the Diagnosis section of the current Health Assessment Form. However, since the date of approval, an ORR Behavioral and Mental Health Team comprised of licensed mental health professionals was created and after careful consideration, the Team believes the current format may cause a child to be prematurely and inappropriately labeled with a mental health disorder if the child is first evaluated by a non-mental health provider. Per ORR guidelines, a child identified with a symptom-based diagnosis during an evaluation with a healthcare provider would be referred to a specialist for evaluation and a disorder-based diagnosis. Therefore, ORR feels that it is in the best interest of the child to provide symptom-based mental health diagnoses as well as disorder-based diagnoses on the Health Assessment Form.
US Code:
6 USC 279
Name of Law: Flores Settlement Agreement
In the previously approved information collection, the annual burden estimate did not include the time required by healthcare providers to complete the Health Assessment form, as it was assumed this information was already collected by the provider and did not impose additional burden. In order to account for the time needed for healthcare providers to fill out the ORR-developed Health Assessment form, however, ORR has since increased the burden estimate for this request.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form 1 Public Health Investigation Form: Active TB
Health Assessment Form_0509_Updated 05092022.docx
Attachment A - Flores Agreement.doc
Public Health Investigation Form: Active TB