Change Requests

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Application for Citizenship and Issuance of Certificate Under Section 322

Key Information

Abstract

The data collected on this form is used by U.S. Citizenship and Immigration Services (USCIS) to determine eligibility for the requested immigration benefit of citizenship. The form serves the purpose of standardizing requests for the benefit, and will ensure that the basic information required to assess eligibility is provided by the applicants. USCIS removing from the "Note" section a requirement indicating that a passport must be issued per the current instruction; there is no requirement for this and eliminating this will eliminate any confusion on the part of the respondent.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

8 USC 1433	View Law

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Declaration of Financial Support

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Abstract

The U.S. Department of Homeland Security (DHS) and consular officers of the Department of State (DOS) use Form I-134 to determine whether, at the time of the beneficiary’s application, petition, or request for certain immigration benefits, that beneficiary has sufficient financial support to pay for expenses for the duration of their temporary stay in the United States. Additionally, biographic information about the beneficiary provided on the Form I-134 will be used for biographic security screening and advance travel authorization by U.S. Customs and Border Protection (CBP). Prior to the transmission of this biographic information to CBP for this purpose, the beneficiary will be requested to confirm electronically the accuracy of the biographic information provided on their behalf by the Form I-134 respondent/supporter.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

8 USC 1184	View Law

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Application for Advance Permission to Enter as a Nonimmigrant (Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA)

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Abstract

This form is provided by the U.S. Citizenship and Immigration Services (USCIS) as a means for certain inadmissible nonimmigrant aliens to apply for permission to enter the United States. This form is also used by U.S. Customs and Border Protection (CBP), to grant temporary permission to certain inadmissible nonimmigrants who wish to enter the United States through a port of entry pursuant to section 212(d)(3) of the INA and 8 CFR 212.4. USCIS also uses this form to address inadmissibility issues for T (Victims of Severe Forms of Trafficking in Persons) and U (Victims of Criminal Activity) petitioners. This is in accordance with 8 CFR 212.16, 8 CFR 212.17 and 8 CFR 214.14.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

8 USC 1182	View Law

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Biographic Information (for Deferred Action)

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The information to be collected will be used by USCIS to determine eligibility of discretionary deferred action for either military deferred action or non-military deferred action (other than deferred action based on DACA, Violence Against Women Act, A-3, G-5, and T and V nonimmigrant visas). For military deferred action, spouses, parents, sons, and daughters of individuals serving on active duty in the U.S. armed forces, serving in the Selected Reserve of the Ready Reserve, or who previously served on active duty or in the Selected Reserve of the Ready Reserve (who were not dishonorably discharged), whether they are living or deceased, and enlistees in the Delayed Entry Program (DEP) will submit Form G-325A as part of their request. For non-military deferred action requests, individuals who are noncitizens who are unlawfully present in the United States who seek to remain in the United Stated will submit Form G-325A as part of their request.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

8 USC 1103	View Law

8 USC 1324a	View Law

42 USC 405	View Law

8 USC 1158	View Law

8 USC 1225	View Law

8 USC 1228	View Law

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Application to Register Permanent Residence or Adjust Status

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The information on Form I-485 will be used to request and determine eligibility for adjustment of permanent residence status. Supplement A is used to adjust status under section 245(i) of the Immigration and Nationality Act (Act).

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

8 USC 1255	View Law

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Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement

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Abstract

USCIS is submitting this request because DHS is proposing to require an alien seeking entrepreneur parole under its proposed rule, "Significant Public Benefit Parole for Entrepreneurs," to file Form I-941 and, when applicable, Form I-941A, to demonstrate that he or she meets the eligibility criteria for entrepreneur parole based on significant public benefit. Based on his or her grant of parole, the alien's dependent spouse and children will also be eligible to request this parole.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

8 USC 1182	View Law

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Petition for U Nonimmigrant Status

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Abstract

This petition permits victims of certain qualifying criminal activity and their immediate family members to apply for temporary nonimmigrant classification. This nonimmigrant classification provides temporary immigration benefits, potentially leading to permanent resident status, to certain victims of criminal activity who: suffered substantial mental or physical abuse as a result of having been a victim of criminal activity; have information regarding the criminal activity; and assist government officials in investigating and prosecuting such criminal activity.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

18 USC 1351	View Law

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Application for Naturalization

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The information collected on this form is used by lawful permanent residents seeking to become naturalized citizens of the United States. The U.S. Citizenship and Immigration Services (USCIS) uses this form to determine an applicant's eligibility for naturalization.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

8 USC 1427	View Law

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NCA Customer Satisfaction Surveys

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Abstract

The information will be used to improve the quality of VA services and help shape the direction and focus of specific programs and services.

Federal Register Notices

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Administration of the Longshore and Harbor Workers' Compensation Act

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Abstract

The regulations and forms cover the submission of information relating to the processing of claims for benefits under the Longshore Act and extensions.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

33 USC 944	View Law

33 USC 939	View Law

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High-Frequency Surveys Program, Household Trends and Outlook Pulse Survey NSC

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The High-Frequency Surveys Program was established as a natural progression from the creation of the Household Pulse Survey. The Census Bureau developed the Household Pulse Survey to produce near real-time data in a time of urgent and acute need to inform federal and state action in response to the Covid-19 pandemic. Changes in the measures over time provided insight into individuals’ experiences on social and economic dimensions during the period of the pandemic. It has evolved to include content on other emergent social and economic issues facing households and is designed to supplement the federal statistical system’s traditional benchmark data products with a new data source that provides relevant and timely information based on a high-quality sample frame, data integration, and cooperative expertise. In January 2025, the HPS and CHP will be relaunched as the Household Trends and Outlook Pulse Survey (HTOPS). The HTOPS will continue the strong tradition of the HPS by rapidly providing insight into national events that have social and economic impacts on U.S. households. It will complement more traditional federal surveys by producing data much closer to real time as the events develop and with the new longitudinal design, have the ability to track changes over time. Along with HPS content, the survey will enable the Census Bureau to address research and content development needs for its census and survey programs. The HTOPS will be one more tool among the Census Bureau's data collection efforts to provide the nation with quality, up-to-date information that informs our future.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

13 USC 8(b), 182, 193, 141	View Law

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Application for Replacement Naturalization/Citizenship Document

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Abstract

Section 343(a) of the Immigration and Nationality Act (INA) (8 U.S.C. 1454) provides that if any certificate of naturalization or citizenship issued to any citizen or any declaration of intention furnished to any declarant is lost, mutilated, or destroyed, the citizen or declarant may make application to the Secretary of Homeland Security for a new certificate or declaration. Additionally, INA 343(b) provides for the issuance of special certificates of naturalization for the purpose of obtaining recognition as a citizen of the United States by a foreign state, and INA 343(c) provides for the issuance of a new certificate of naturalization in cases where a naturalized citizen has changed his or her name after naturalization. Finally, 8 C.F.R. 338.5 provides for the issuance of a corrected Certificate of Naturalization where the certificate does not conform to the facts shown on the application for naturalization or a clerical error was made in preparing the certificate. The Form N-565 is used to apply for a replacement of a Declaration of Intention, Naturalization Certificate, Certificate of Citizenship or Repatriation Certificate, or to apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

8 USC 1454	View Law

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Volunteer Service Application and Voluntary Intern Application

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NARA needs a standard way to recruit volunteers and identify the qualifications of potential volunteers. The NA Form 6045 is used by members of the public to signal their interest in being a NARA volunteer. NARA also uses voluntary (unpaid) interns to create a pipeline; bring fresh perspectives and ideas; and serve as NARA brand ambassadors. In February/March 2024, NARA submitted a Change Worksheet to OMB to add NA Form 3060A, Voluntary Intern Application, to this information collection request

Federal Register Notices

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Title V State Sexual Risk Avoidance Education

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The Administration on Children, Youth and Families' (ACYF) Family and Youth Services Bureau (FYSB) publishes a notice of funding opportunity (NOFO) to solicit applications from states and territories for the development and implementation of the Title V State Sexual Risk Avoidance Education (SRAE) Program. The purpose of the Title V State SRAE Program is to fund states/territories to implement education exclusively on sexual risk avoidance that teaches youth participants to voluntarily refrain from non-marital sexual activity. States and territories are expected to submit plans for the implementation of sexual risk avoidance education that normalizes the optimal health behavior of avoiding non-marital sexual activity, with a focus being on the future health, psychological wellbeing, and economic success of youth. Further, the plans must address the social, psychological, and health gains to be realized by refraining from non-marital sexual activity and engaging in healthy relationships. This request is to make updates to remove equity-related indicators from the SRAE Performance Progress Report.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 117 - 103 303	View Law

Pub.L. 115 - 123 50502	View Law

42 USC 710	View Law

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U.S. Passport Renewal Application for Eligible Individuals

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Abstract

The information collected on the DS-82 is used to facilitate the issuance of U.S. passports to U.S. citizens and nationals. The primary purpose of soliciting the information is to establish citizenship, identity, and entitlement to the issuance of a U.S. Passport or related service, and to properly administer and enforce the laws pertaining to the issuance thereof.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

22 USC 211a	View Law

8 USC 1104	View Law

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Domestic and International Clients Export Services and Customized Forms

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The International Trade Administration’s (ITA) is mandated by Congress to broaden and deepen the U.S. exporter base and to attract inward foreign direct investment. ITA accomplishes this by providing counseling, programs and services to help U.S. organizations export and conduct business in overseas markets. This information collection package enables ITA to provide appropriate export services to U.S. exporters and international buyers. The proposed categories of questions are: contact information, organization information, organization type, agreements and confirmations, objectives, products and services, exporting experience, marketing, events and activities, trade fair/show, certified trade missions, trade missions, advocacy, environment, and education. ITA asks only those questions that provide the required information to assist in fulfilling a client's objective for a requested service and/or event/activity.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

15 USC 4724	View Law

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Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement

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Abstract

The Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement (DS-5504) is the form used by current passport holders who need to re-apply for a new passport within one year of the date of issuance for the following conditions: a) the passport holder's name has changed within the first year of the issuance of the passport; b) the passport holder needs correction of descriptive information on the data page of the passport; c) the passport holder wishes to obtain a fully valid passport after obtaining a full-fee passport with a limited validity of two years or less.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

22 USC 211a	View Law

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Office of Human Services Emergency Preparedness and Response Disaster Human Services Case Management Intake Assessment, Resource Referral, and Case Management Plan

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The Administration for Children and Families (ACF) is requesting an extension with no changes to this information collection, which was originally approved in October 2023 through an emergency review, as authorized under 44 U.S.C. 3507 (subsection j). The forms under this request enable ACF’s Office of Human Services Emergency Preparedness and Response (OHSEPR) to provide case management support during disasters. The Disaster Human Services Case Management (DHSCM) program is authorized through appropriations language under the Children and Families Services account. It is operated by the Administration for Children and Families' (ACF) Office of Human Services Emergency Preparedness and Response (OHSEPR). OHSEPR is the lead in the Department for Health and Human Services (HHS) for human service preparation for, response to, and recovery from, natural disasters. The materials included in this request are necessary for OHSEPR to provide responsive disaster human services case management operations to support families that are currently displaced. The Administration for Children and Families (ACF) has updated the Disaster Human Services Intake Assessment Form to comply with Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government (Defending Women). The remaining four forms are already in compliance and do not require changes.

Federal Register Notices

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30-Day FRN	View Notice

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Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection

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The Affordable Housing and Supportive Services Demonstration (AHSSD) Data Collection (OMB #0970-0628) was originally approved in March 2024 and then revised in September 2024. The information collection includes individual-level survey instruments and on-site focus groups to collect information from program participants, onsite and virtual interviews to collect information from program staff, and report forms to capture service delivery and outcomes. ACF has implemented changes to remove language related to DEI and update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with the recent presidential directives.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

42 USC 1310	View Law

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Medical Assessment Form and Dental Assessment Form

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Abstract

The Medical Assessment Form was approved by OMB on October 26, 2023, as part of the Medical Assessment Form and Dental Assessment Form information collection. The purpose of the Medical Assessment Form is to collect standardized health information on unaccompanied children during evaluations with generalist medical providers, pediatricians, and other medical specialty providers. The following two Administration for Children and Families (ACF) Office of Refugee Resettlement (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. ACF has implemented changes to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent presidential directives.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

6 USC 279	View Law

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ACF Performance Progress Report - Program Indicators

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Abstract

The Office of Grants Management (OGM), in the Administration for Children and Families (ACF) is proposing the continued collection of program performance data for ACF’s discretionary grantees. In 2016, OGM developed the ACF-OGM-SF-PPR-B to collect this data based on the basic template of the OMB-approved reporting format of the Program Performance Report. The form was renewed in 2019 with no changes. OGM now seeks to renew the ACF-OGM-SF-PPR-B for continued use by ACF with minor changes to improve the function of the form and utility to the federal government. This includes the addition of a program indicator to collect information on activities recipients conducted during the reporting period to address or advance equity. Addition of this program indicator supports the Biden-Harris Administration’s equity agenda as outlined in Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government. Other minor updates are described in A15 of Supporting Statement A. The requirement for grantees to report on performance is OMB grants policy. Specific citations are contained in: (1) 2 CFR 215 Uniform Administrative Requirements, cost Principles, and Audit Requirements for Federal Awards and (2) 45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Department of Health and Human Services Awards. The Office of Grants Management (OGM), in the Administration for Children and Families (ACF) is proposing to update the form used for the collection of program performance data for ACF’s discretionary grant recipients. In 2016, OGM developed the ACF-OGM-SF-PPR-B to collect this data based on the basic template of the OMB-approved reporting format of the Program Performance Report and has renewed approval since implementation. OGM has made updates to the instructions to ensure they are current and clear and revised a program indicator in response to Executive Order 14151, Ending Radical and Wasteful Government DEI Programs and Preferences. This is a request for revisions to reword the submission instructions, change of the term grantee to recipient and remove an equity-related activity program indicator.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 111 - 352 12	View Law

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Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation

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Abstract

Revised instructions for the TANF and SSP-MOE Data Report were approved as part of the TANF Data Reporting for Work Participation (OMB #0970-0338) package with an expiration date of 10/31/2026. Pursuant to the U.S. Office of Personnel Management (OPM) Initial Guidance Regarding Executive Order Defending Women provided on January 29, 2025, OFA proposes a few minor changes to instructions to ensure alignment with OPM guidance. We are requesting expedited approval of these minor changes to ensure that states are able to continue reporting with minimum disruption.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

42 USC 601, 607, 609, 611, 613, 1302	View Law

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Administration for Children and Families Generic for Engagement Efforts

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Abstract

This umbrella generic was established for use by the Administration for Children and Families (ACF) when efforts to engage individuals and groups who could provide valuable information to inform ACF programs and work are subject to the Paperwork Reduction Act (PRA). This includes but is not limited to those who are served, or have been served by ACF, those with expertise in ACF program areas, and individuals invested in the outcomes of ACF research and evaluation. Groups and individuals to actively engage may include but are not limited to service providers; developers of interventions, innovations, or practices; program participants; subject matter experts; federal, grant program, or other program staff; federal, state, or local leadership; groups and individuals in programs’ communities; individuals with experience with or expertise in ACF services; and those in broader fields of study related to human services.

Federal Register Notices

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30-Day FRN	View Notice

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National Human Trafficking Hotline (NHTH) Performance Indicators

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Abstract

Section 107(b)(1)(B)(ii) of the Trafficking Victims Protection Act of 2000 (TVPA), as amended at 22 U.S.C. § 7105(b)(1)(B)(ii), authorizes the Secretary of Health and Human Services to make a grant for a national communication system—the National Human Trafficking Hotline (NHTH)—to assist victims of severe forms of trafficking in persons in seeking help, receiving referrals, and reporting potential trafficking situations. The Office on Trafficking in Persons (OTIP) made an award in the form of a Cooperative Agreement to a single, competitively selected grant recipient to maintain and support operation of the NHTH throughout the United States and U.S. territories. The NHTH is a toll-free hotline, that operates 24 hours a day, every day of the year. National Human Trafficking Hotline Performance Indicators (OMB #0970-0598) is an active and approved collection of aggregate information about signalers (individuals who contact the NHTH) and from signalers regarding potential victims of a severe form of trafficking in persons and potential human trafficking situations. The information collected is reported on a monthly, semi-annual, and annual basis, and is necessary to support the monitoring of work done through the cooperative agreement, to ensure signalers receive the information and support requested, and to provide appropriate technical assistance (TA) to the grant recipient. To address performance issues and streamline internal signal processing procedures, the NHTH has audited its data collection practices and has identified indicators that are no longer in use, relevant, or otherwise necessary that can be removed to reduce the data collection and reporting burden on Hotline Advocates, the individuals employed by the grant recipient organization to operate the NHTH. This process included efforts to collapse, condense, or otherwise simplify lists of data elements for clarity. Per the Supporting Statement, this information collection does not seek to collect any information from signalers (respondents) that they would not otherwise provide to Hotline Advocates in order to seek help, receive referrals, or report potential trafficking cases. None of the proposed changes impact front-end data collection, or the questions that Hotline Advocates ask to ascertain the purpose of a signal and the signaler’s desired response (i.e. to issue a referral or make a tip). By contrast, each of the proposed changes impact only the solely-awarded grant recipient and the changes are being informed by efforts by the recipient described above. This request aims to bring the collection into alignment with the grant recipient’s back-end data collection practices (i.e. what Hotline Advocates record in their case management database to summarize the signal and actions taken in response). Each of the changes proposed seek to improve data capture and data quality.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

22 USC 7105(b)(1)(B)(ii)	View Law

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Mental Health Assessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness

Key Information

Abstract

The Mental Health Assessment Form was approved by OMB on September 16, 2023, as part of the Mental Health Asessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness Form information collection. The purpose of the Mental Health Assessment is to collect standardized health information on unaccompanied children during evaluations with mental health providers. The following two Administration for Children and Families (ACF) Office of Refugee Resettlement (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. ORR has recently identified a specific need to share data collected on ORR’s health assessment forms that falls outside of the stated limitations with the Department of Homeland Security (DHS). 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 HHS custody. ACF has implemented changes to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent presidential directives.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

6 USC 279	View Law

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