82484 Federal Register / Vol. 85, No. 244 / Friday, December 18, 2020 / Notices 

Use: Section 1853(o) of the Social 

Security Act (the Act) requires CMS to 

make QBPs to MA organizations that 

achieve performance rating scores of at 

least 4 stars under a five-star rating 

system. While CMS has applied a Star 

Rating system to MA organizations for a 

number of years, prior to the QBP 

program these Star Ratings were used 

only to provide additional information 

for beneficiaries to consider in making 

their Part C and D plan elections. 

Additionally, section 1854(b)(1)(C)(v) of 

the Act, as added by the Affordable Care 

Act, also requires CMS to change the 

share of savings that MA organizations 

must provide to enrollees as the 

beneficiary rebate specified at 

§ 422.266(a) based on the level of a 

sponsor’s Star Rating for quality 

performance. 

The information collected on the 

Request for Reconsideration form from 

MA organizations is considered by the 

reconsideration official and potentially 

the hearing officer to review CMS’s 

determination of the organization’s 

eligibility for a QBP. The form asks MA 

organizations to select the Star Ratings 

measure(s) they believe was 

miscalculated or used incorrect data and 

describe what they believe is the issue. 

Under § 422.260(c)(3)(ii) these are the 

only bases for appeals. In conducting 

the reconsideration, the reconsideration 

official will review the QBP 

determination, the evidence and 

findings upon which it was based, and 

any other written evidence submitted by 

the organization with their Request for 

Reconsideration or by CMS before the 

reconsideration determination is made. 

The administrative review process is 

a two-step process that includes a 

request for reconsideration and a 

request for an informal hearing on the 

record after CMS has sent the MA 

organization the reconsideration 

decision. Both steps are conducted at 

the contract level. The first step allows 

the MA organization to request a 

reconsideration of how its Star Rating 

for the given measure in question was 

calculated and/or what data were 

included in the measure. If the MA 

organization is dissatisfied with CMS’s 

reconsideration decision, the contract 

may request an informal hearing to be 

conducted by a hearing officer 

designated by CMS. MA organizations 

will have 10 business days from the 

time we issue the notice of QBP status 

to submit a request for reconsideration. 

MA organizations will have 10 business 

days after the issuance of the 

reconsideration determination to 

request an informal hearing on the 

record. Form Number: CMS–10346 

(OMB control number: 0938–1129); 

Frequency: Yearly; Affected Public: 

Private Sector; Number of Respondents: 

20; Total Annual Responses: 20; Total 

Annual Hours: 160. (For policy 

questions regarding this collection 

contact Joy Binion at 410–786–6567.) 

Dated: December 15, 2020. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2020–27885 Filed 12–17–20; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Placement and Transfer of 

Unaccompanied Alien Children Into 

ORR Care Provider (0970–0554) 

AGENCY: Office of Refugee Resettlement; 

Administration for Children and 

Families; Department of Health and 

Human Services. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR) Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS), is proposing to continue 

to collect information that will allow 

Unaccompanied Alien Children (UAC) 

Program to place UAC referred to ORR 

by Federal agencies into care provider 

facilities and to transfer UAC within the 

ORR care provider network. These 

information collections were originally 

approved under emergency approval for 

6 months. This request is to continue 

data collection. Information collections 

related to other aspects of the UAC 

Programs, such as sponsorship and 

health care, are covered under OMB 

Numbers 0970–0278, 0970–0385, 0970– 

0466, 0970–0490, 0970–0498, 0970– 

0509, and 0970–0543. 

DATES: Comments due within 30 days of 

publication. OMB is required to make a 

decision concerning 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 www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

SUPPLEMENTARY INFORMATION: 

Description: The components of this 

information request include: 

1. Placement Authorization (Form P– 

1): This instrument is used by ORR to 

authorize a care provider to provide care 

and services to UAC placed in their 

facility. Care providers sign the 

instrument to acknowledge certain 

responsibilities related to the care of the 

UAC. This form is currently approved 

under OMB Number 0970–0498. 

2. Authorization for Medical, Dental, 

and Mental Health Care (Form P–2): 

This instrument is used by ORR to 

authorize a care provider to provide 

medical, dental, and mental health care 

services to UAC placed in their facility. 

Care providers sign the instrument to 

acknowledge certain responsibilities 

related to the care of the UAC. 

3. Notice of Placement in a Restrictive 

Setting (Form P–4/4s): This instrument 

is used by care providers to document 

and inform UAC of the reason they have 

been placed in a restrictive setting. This 

form is currently approved under OMB 

Number 0970–0498 under the title 

Notice of Placement in Secure or Staff 

Secure. 

4. Long Term Foster Care Placement 

Memo (Form P–5): This instrument is 

used by care providers to ensure 

continuity of services and tracking of 

records for a UAC following transfer. 

This form is currently approved under 

OMB Number 0970–0498. 

5. Intakes Placement Checklist (Form 

P–7): This instrument is used by ORR 

Intakes staff to determine whether 

initial placement in a restrictive setting 

is appropriate for a UAC. This form is 

currently approved under OMB Number 

0970–0498 under the title Further 

Assessment Swift Track (FAST) 

Placement Tool. 

6. Care Provider Checklist for 

Transfers to Influx Care Facilities (Form 

P–8): This instrument is used by care 

providers to ensure that all criteria for 

transfer of a UAC to an influx care 

facility have been met. 

7. Medical Checklist for Transfers 

(Form P–9A): This instrument is used by 

care providers to ensure that UAC are 

medically cleared for transfer within the 

ORR care provider network, excluding 

transfer to an influx care facility. 

8. Medical Checklist for Influx 

Transfers (Form P–9B): This instrument 

is used by care providers to ensure that 

UAC are medically cleared for transfer 

to an influx care facility. 

9. Transfer Request (Form P–10): This 

instrument is used by care provider 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 85, No. 244 / Friday, December 18, 2020 / Notices 82485 

facilities, ORR contractor staff, and ORR 

Federal staff to process 

recommendations and decisions for 

transfer of a UAC within the ORR care 

provider network. This form is currently 

approved under OMB Number 0970– 

0498 under the title Transfer Request 

and Tracking Form. 

10. Transfer Request and Tracking 

Form (Form P–11): This instrument is 

used by care providers to track the 

physical transfer of the UAC and their 

belongings. 

11. UAC Portal Capacity Report (Form 

P–12): This instrument is used by care 

providers and ORR to track availability 

of beds in care provider facilities. This 

form is currently approved under OMB 

Number 0970–0498. 

12. Add New UAC (Form P–13): This 

instrument is used by Federal agencies 

to refer UAC to ORR custody and by 

ORR Intakes staff to place UAC in an 

ORR care provider facility. 

13. Notice of Transfer to ICE Chief 

Counsel—Change of Address/Change of 

Venue (Form P–14): This instrument is 

used by care providers to notify DHS of 

the transfer of a UAC within the ORR 

care provider network so that DHS may 

file a Motion for Change of Venue and/ 

or Change of Address with the 

Executive Office for Immigration 

Review to ensure the UAC’s 

immigration case is transferred to the 

local immigration court, if applicable. 

This form is currently approved under 

OMB Number 0970–0498. 

Respondents: ORR grantee and 

contractor staff; other Federal agencies. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual total 

number of 

respondents 

Annual total 

number of 

responses per 

respondent 

Average 

burden 

minutes per 

response 

Annual total 

burden hours 

Placement Authorization (Form P–1) .............................................................. 206 377 1 1,294 

Authorization for Medical, Dental, and Mental Health Care (Form P–2) ........ 206 377 1 1,294 

Notice of Placement in a Restrictive Setting (Form P–4/4s) ........................... 15 68 20 340 

Long Term Foster Care Placement Memo (Form P–5) .................................. 30 4 15 30 

Intakes Placement Checklist (Form P–7) ........................................................ 16 4,343 15 17,372 

Care Provider Checklist for Transfers to Influx Care Facilities (Form P–8) ... 206 11 15 567 

Medical Checklist for Transfers (Form P–9A) ................................................. 206 29 5 498 

Medical Checklist for Influx Transfers (Form P–9B) ....................................... 206 11 10 378 

Transfer Request (Form P–10) ....................................................................... 206 39 45 6,026 

Transfer Request and Tracking Form (Form P–11) ........................................ 206 39 10 1,339 

UAC Portal Capacity Report (Form P–12) ...................................................... 206 365 5 6,266 

Add New UAC (Form P–13) ............................................................................ 50 1,390 15 17,375 

Notice of Transfer to ICE Chief Counsel—Change of Address/Change of 

Venue (Form P–14) ..................................................................................... 206 39 10 1,339 

Estimated Annual Burden Total: .............................................................. ........................ ........................ ........................ 54,117 

Authority: 6 U.S.C. 279; 8 U.S.C. 1232; 

Flores v. Reno Settlement Agreement, No. 

CV85–4544–RJK (C.D. Cal. 1996) 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2020–27901 Filed 12–17–20; 8:45 am] 

BILLING CODE 4184–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; Release 

of Unaccompanied Alien Children 

From ORR Custody (0970–0552) 

AGENCY: Office of Refugee Resettlement; 

Administration for Children and 

Families; Department of Health and 

Human Services. 

ACTION: Request for public comment. 

SUMMARY: The Office of Refugee 

Resettlement (ORR), Administration for 

Children and Families (ACF), 

Department of Health and Human 

Services (HHS), is proposing to continue 

to collect information that will allow 

Unaccompanied Alien Children (UAC) 

Program to process release of UAC from 

ORR custody and provide services after 

release. These information collections 

were originally approved under 

emergency approval for 6 months. This 

request is to continue data collection. 

Information collections related to other 

aspects of the UAC Programs, such as 

sponsorship and health care, are 

covered under OMB Numbers 0970– 

0278, 0970–0385, 0970–0466, 0970– 

0490, 0970–0498, 0970–0509, and 0970– 

0543. 

DATES: Comments due within 30 days of 

publication. OMB is required to make a 

decision concerning 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 www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

SUPPLEMENTARY INFORMATION: 

Description: The components of this 

information request include: 

1. Discharge Notification (Form R–2): 

This instrument is used by care provider 

facilities to notify stakeholders of the 

transfer of a UAC to another care 

provider facility or the release of a UAC 

from ORR custody. 

2. Notice to Immigration and Customs 

Enforcement (ICE) Chief Counsel— 

Release of Unaccompanied Alien Child 

to Sponsor and Request to Change 

Address (Form R–3): This instrument is 

used by care provider facilities to notify 

ICE Chief Counsel of the release of a 

UAC and request a change of address. 

3. Release Request (Form R–4): This 

instrument is used by care provider 

facilities, ORR contractor staff, and ORR 

Federal staff to process 

recommendations and decisions for 

release of a UAC from ORR custody. 

4. Safety and Well-Being Follow-Up 

Call Report (Form R–6): This instrument 

is used by care provider facilities to 

document the outcome of calls made to 

UAC and their sponsors after release to 


khammond on DSKJM1Z7X2PROD with NOTICES