Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 11537 

d. Several fields related to release 

dates and immigration court appearance 

were removed because they are easily 

accessible elsewhere in UAC Path. 

e. A new section called ‘‘Release 

Request Routing’’ was added to facilitate 

automated notification of pending 

releases within UAC Path. Some fields 

in this section are auto-populated. 

f. A new ‘‘Child Advocates’’ section 

was added, containing two fields. 

g. A new ‘‘Medical’’ section was 

added to facilitate automated 

notification to the ORR medical 

coordinator, when applicable. The 

section contains two fields. 

h. A new ‘‘Legal’’ section was added. 

All fields in this section are autopopulated with the exception of the 

comments field. 

i. A new ‘‘Program Information’’ 

section was added to capture relevant 

details when a UAC is being release to 

a program/entity. 

j. In the ‘‘Case Manager 

Recommendation’’ section, a couple of 

auto-populated date fields were added. 

5. Safety and Well-Being Call (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 ensure the 

child is safe and refer the sponsor to 

additional resources as needed. 

Currently, case managers document 

responses from the sponsor and UAC 

interview questions (required per ORR 

procedures) in their case management 

notes. ORR expanded this instrument to 

include the information currently 

captured in case management notes, in 

addition to the information captured in 

the current version of the Safety and 

Well-Being Follow-Up Call Report. The 

average burden minutes per response 

was increased from 30 to 45 minutes. 

Respondents: ORR grantee and 

contractor staff; and released children 

and sponsors. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden 

minutes per 

response 

Annual 

total burden 

hours 

Verification of Release (Form R–1) ................................................................. 216 253 10 9,108 

Discharge Notification (Form R–2) .................................................................. 216 290 10 10,440 

ORR Release Notification—ORR Notification to ICE Chief Counsel Release 

of UAC to Sponsor and Request to Change Address (Form R–3) ............. 216 270 5 4,860 

Release Request (Form R–4)—Grantee Case Managers .............................. 216 254 25 22,860 

Release Request (Form R–4)- Contractor Case Coordinators ....................... 170 321 20 18,190 

Safety and Well-Being Call (R–6) .................................................................... 216 253 45 40,986 

Estimated Annual Burden Hours Total ..................................................... ........................ ........................ ........................ 106,444 

Comments: 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. 

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. 2021–03898 Filed 2–24–21; 8:45 am] 

BILLING CODE 4184–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Sponsor Review Procedures 

for Unaccompanied Alien Children 

(OMB #0970–0278); Correction 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, Department of Health and 

Human Services. 

ACTION: Notice; withdrawal. 

SUMMARY: The Office of Refugee 

Resettlement (ORR) published a 

document requesting public comment 

on proposed changes to its Family 

Reunification Application (also referred 

to as Sponsor Verification Application) 

and Sponsor Care Agreement. ORR is no 

longer pursuing changes to these forms 

and, therefore, withdraws its request for 

public comment. 

FOR FURTHER INFORMATION CONTACT: 

Toby Biswas, Esq., 202–401–9246; 

UACPolicy@acf.hhs.gov. 

SUPPLEMENTARY INFORMATION: The ORR 

published the document in the Federal 

Register on January 5, 2021, at 86 FR 

308. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–04030 Filed 2–23–21; 4:15 pm] 

BILLING CODE 4184–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Services Provided to 

Unaccompanied Alien Children (0970– 

0553) 

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 inviting public 

comments on revisions to an approved 

information collection. The request 

consists of several forms that allow the 

Unaccompanied Alien Children (UAC) 

11538 Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 

Program to provide services to UAC as 

required by statute and ORR policy. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements 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. 

ADDRESSES: Copies of the proposed 

collection of information can be 

obtained and comments may be 

forwarded by emailing infocollection@

acf.hhs.gov. Alternatively, copies can 

also be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research, 

and Evaluation (OPRE), 330 C Street 

SW, Washington, DC 20201, Attn: ACF 

Reports Clearance Officer. All requests, 

emailed or written, should be identified 

by the title of the information collection. 

SUPPLEMENTARY INFORMATION: 

Description: ORR revised 11 

instruments currently approved under 

OMB #0970–0553 and plans to add 11 

new instruments to this collection. All 

instruments will be incorporated into 

ORR’s new case management system, 

UAC Path. In addition, ORR plans to 

remove one currently approved 

instrument from this collection. 

1. Sponsor Assessment (Form S–5): 

This instrument is used by case 

managers to document their assessment 

of the suitability of a potential sponsor 

to provide for the safety and well-being 

of a UAC. ORR reformatted and 

reorganized the instrument and 

reworded some of the fields. In 

addition, ORR made the following 

revisions: 

Æ In the ‘‘Sponsor Basic Information’’ 

section, added the field ‘‘Relationship to 

UAC’’. 

Æ In the ‘‘Family Relationships’’ 

section, added the field ‘‘Home 

Address’’ and removed the field ‘‘Are 

you married to your partner?’’ 

Æ In the ‘‘Household Composition’’ 

section, removed the field ‘‘Valid 

Identity Document Received’’. 

Æ In the ‘‘Previous Sponsorship’’ 

section, removed the field ‘‘How many 

children did you sponsor?’’ and added 

the following fields: ‘‘What contact do 

you still have with the child?’’, What is 

the child’s current legal status?’’, and 

‘‘HHM/AACG Name’’. 

Æ In the ‘‘Proof of Identity’’ section, 

removed the following fields: 

‘‘Sponsor’s identity is verified’’, 

‘‘Household member’s identity is 

verified’’, ‘‘Adult Caregiver’s identity is 

verified’’, and ‘‘Additional information 

on identity’’. 

Æ In the ‘‘Proof of Immigration Status 

or U.S. Citizenship’’ section, added the 

following fields: ‘‘Proof of Immigration 

Document Type’’, ‘‘Expiration Date’’, 

‘‘Date Documents Issued’’, and ‘‘Verified 

by Government Agency or Consulate’’. 

Æ In the ‘‘Proof of Address’’ section, 

added the field ‘‘Alternate Phone’’ and 

removed the following fields: ‘‘Work 

Phone’’, ‘‘Fax’’, ‘‘Describe the area/ 

neighborhood where you reside’’, ‘‘Do 

you receive your mail at a different 

address?’’, ‘‘If yes, what is the address 

that you use to receive mail?’’, and 

‘‘Resided at Address Within Past 5 

Years’’. 

Æ In the ‘‘Proof of Financial Stability’’ 

section, added the following fields: 

‘‘List Proof of Financial Stability 

documents provided’’, ‘‘Proof of 

Financial Stability Document Type’’, 

and ‘‘Date Document Issued’’. 

Æ In the ‘‘Care Plan’’ section, added 

the fields ‘‘Are you aware of any mental 

health conditions of the UAC which 

will need treatment?’’ and ‘‘Explain how 

you plan to supervise and ensure the 

safety of the UAC’’ and removed eight 

other fields. 

Æ Removed the ‘‘Safety Plan’’ section. 

Æ In the ‘‘Supervision Plan’’ section, 

removed the fields ‘‘SSN/A No.’’ and 

‘‘Explain how you plan to supervise the 

minor’’. 

Æ In the ‘‘Alternate Adult Caregiver 

Plan’’ section, removed the field ‘‘SSN/ 

A No.’’. 

Æ In the ‘‘Self-Disclosed Criminal 

History’’ section, added the fields 

‘‘Conviction’’ and ‘‘List any child abuse 

and neglect history’’ and removed six 

other fields. 

Æ In the ‘‘Sponsor’s Knowledge of 

UAC Journey and Apprehension’’ 

section, added the field ‘‘If there is a 

debt still owed for the UAC’s journey, 

please explain’’. 

Æ In the ‘‘Human Trafficking’’ 

section, added the fields ‘‘If you have 

travelled back to your country of origin 

since your arrival in the U.S., please 

explain’’ and ‘‘Were you ever restricted 

from quitting or leaving the work?’’ and 

removed 16 other fields. 

2. Home Study Assessment (formerly 

titled Home Study Report) (Form S–6): 

This instrument is used by home study 

providers to document their assessment 

of a potential sponsor after performing 

a home site visit. ORR reformatted and 

reorganized the instrument and 

reworded some of the fields. In 

addition, ORR made the following 

revisions: 

Æ In the ‘‘UAC Background’’ section, 

removed the question related to the 

UAC’s understanding of certain U.S. 

laws. Questions about how sponsor 

disciplines children and whether UAC 

would feel safe living with sponsor were 

replaced with a single question asking if 

the UAC has any concerns about living 

with sponsor. 

Æ In the ‘‘Sponsor’s Motivation and 

Relationship to UAC’’ section, replaced 

the question on the location of the 

sponsor’s family members in the U.S. 

and their relationship to the UAC with 

a question asking if the sponsor has a 

family support system in the U.S. and 

whether they can provide assistance. 

Æ In the ‘‘Household Members’’ 

section, removed fields related to 

background checks because this 

information is documented by case 

managers elsewhere in UAC Path. 

Æ In the ‘‘Summary’’ section, 

removed the risk factors and protective 

factors table. 

3. Adult Contact Profile (formerly 

titled New Sponsor) (Form S–7): The 

purpose of this instrument has been 

expanded; it now acts as a hub where 

users can access all records related to a 

sponsor, adult household member, or 

alternate adult caregiver. The average 

burden minutes per response was 

increased from 20 to 45 minutes. In 

addition, ORR made the following 

revisions: 

Æ Replaced the ‘‘UAC Basic 

Information’’ section with the 

‘‘Associated UACs’’ table. 

Æ Removed the following fields: 

‘‘SSN’’, Country of Residency’’, ‘‘Query 

ID’’, ‘‘Does anyone in the Household 

have a Serious Contagious Disease?’’, 

and ‘‘Do any of the Occupants Have 

Criminal Convictions or Charges, Other 

Than Minor Traffic Violations?’’. 

Æ Added the following fields: ‘‘AKA’’, 

‘‘Current Age’’, ‘‘Primary Language 

Spoken’’, ‘‘Other Spoken Languages’’, 

‘‘Additional Cultural Information’’, and 

‘‘Legacy Address’’. 

Æ Replaced the fields related to 

address and address flags with the 

‘‘Address History’’ section. 

Æ Moved the information from the 

‘‘Affidavits of Support’’ table to the 

Sponsor Assessment. 

4. Initial Intakes Assessment (Form S– 

8): This instrument is used by care 

providers to screen UAC for trafficking 

or other safety concerns, special needs, 

danger to self and others, medical 

conditions, and mental health concerns. 

ORR reformatted and reorganized the 

instrument and reworded some of the 

fields. The average burden minutes per 

response was increased from 15 to 20 

minutes. In addition, ORR made the 

following revisions: 

Æ In the ‘‘Information’’ section, 

removed the field ‘‘Date of departure 

from home country’’ and added the 

following fields: ‘‘City of Birth’’, 

‘‘Neighborhood of Birth’’, ‘‘Religious 

Affiliation’’, ‘‘Other Languages Spoken’’, 

Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 11539 

‘‘Who did UAC live with before 

placement?’’ 

Æ Replaced the ‘‘Family Information’’ 

section with the ‘‘Family and Friends’’ 

and ‘‘Adult Contact Relationships’’ 

sections. 

Æ Added new ‘‘Significant 

Information’’ section, containing six 

fields. 

Æ In the ‘‘Medical’’ section, replaced 

or reworded most fields and expanded 

the fields related to allergies into 

multiple fields. 

Æ Added a new ‘‘Medication 

Overview’’ section, containing three 

fields. 

Æ Revised the available fields in the 

‘‘Observable or Reported Medical 

Concerns’’ section. 

Æ Reduced the number of fields in the 

‘‘Mental Health’’ section to three. 

5. Assessment for Risk (Form S–9): 

This instrument is an assessment 

administered by care providers to 

reduce the risk that a child or youth is 

sexually abused or abuses someone else 

while in ORR custody. ORR reformatted 

and reorganized the instrument and 

changed reworded some of the fields. In 

addition, ORR added several fields 

related to the UAC’s sexual history and 

two fields on mental and physical 

disability and illness. The average 

burden minutes per response was 

increased from 30 to 45 minutes. 

6. UAC Assessment (Form S–11): This 

instrument is an in-depth assessment 

used by care providers to document 

information about the UAC that is used 

to inform provision of services (e.g., 

case management, legal, education, 

medical, mental health, home studies), 

screen for trafficking or other safety 

concerns, and identify special needs. 

ORR reformatted and reorganized the 

instrument and reworded some of the 

fields. The average burden minutes per 

response was increased from 45 minutes 

to 2 hours. In addition, ORR made the 

following revisions: 

Æ Added a new ‘‘Age-determination 

or Identity Concern’’ section, containing 

11 fields. 

Æ In the ‘‘Additional UAC 

Information’’ section, added the 

following fields: ‘‘City of Birth’’, ‘‘Who 

did UAC live before placement’’, 

‘‘Neighborhood of Birth’’, and ‘‘Other 

additional information’’. 

Æ In the ‘‘Family and Friends’’ 

section, removed ‘‘Has family in 

Country of Origin?’’, ‘‘Has Family in the 

US?’’ fields. Replaced ‘‘Family in 

Country of Origin’’ and ‘‘Family and 

Friends in the U.S.’’ tables with a 

‘‘Family and Friends’’ table. Added 

‘‘Separated from Parents/Legal 

Guardian?’’ and ‘‘Migrant Protection 

Protocol case?’’ fields. 

Æ Removed the ‘‘Medical History’’ 

and ‘‘Medication Table’’ from the 

‘‘Medical’’ section and added the field 

‘‘Health care needs are being 

addressed’’. 

Æ Moved fields in the ‘‘Legal’’ section 

to the UAC Profile and UAC Legal 

Information instruments found in other 

ORR information collections. 

Æ Removed all fields from the 

‘‘Criminal’’ section and replaced them 

with three new fields and an area to 

provide details on any criminal charges 

(nine fields). 

Æ Removed the ‘‘Mental Health/ 

Behavior’’ section because that 

information is available in the mental 

health area of UAC Path. 

Æ In the ‘‘Sponsor Information’’ 

section, replaced the table with the 

‘‘Adult Contact Relationship’’ table and 

added a section that displays ‘‘Previous 

Sponsor Applications’’. 

Æ Added a ‘‘Documents’’ section in 

which documents directly related to 

case management may be uploaded. 

Æ In the ‘‘Certification’’ section, 

created separate areas for both the 

clinician and case manager to certify 

that all required sections of the 

instruments are complete and accurate 

and added ‘‘Translator Name’’ and 

‘‘Language’’ fields. 

7. UAC Case Review (Form S–12): 

This instrument is used by care 

providers to document new information 

obtained after completion of the UAC 

Assessment. ORR reformatted and 

reorganized the instrument and 

reworded some of the fields. The 

average burden minutes per response 

was increased from 30 minutes to 2 

hours. In addition, ORR made the 

following revisions: 

Æ Added a new ‘‘Age-determination 

or Identity Concern’’ section, containing 

11 fields. 

Æ Created a new ‘‘Additional UAC 

Information’’ section and added the 

following fields: ‘‘UAC Case Review 

Type’’, ‘‘Who did UAC live with before 

placement?’’, ‘‘City of Birth’’, ‘‘Religious 

Affiliation’’, ‘‘Neighborhood of Birth’’, 

‘‘Separated from Parents/Legal 

Guardian?’’, and ‘‘Parent Separation 

Case Updates’’. 

Æ In the ‘‘Medical’’ section, added a 

new ‘‘Health care needs are being 

addressed’’ field and a table of ‘‘Existing 

Mental Health Diagnoses’’ that is autopopulated from information entered into 

the mental health area of UAC Path. 

Æ Removed the ‘‘Medical History’’ 

and ‘‘Medication Table’’ from the 

‘‘Medical’’ section. 

Æ In the ‘‘Mental Health’’ section, 

removed the fields under 

‘‘Psychological Evaluation’’ and added 

the following fields: ‘‘Date Completed’’, 

‘‘Date of Evaluation’’, and ‘‘Evaluator’’. 

Æ Added a new ‘‘Case Plan’’ section, 

containing seven fields. 

Æ Moved fields in the ‘‘Legal’’ section 

to the UAC Profile and UAC Legal 

Information instruments found in other 

ORR information collections. 

Æ In the ‘‘Sponsor Information’’ 

section, replaced the table with the 

‘‘Adult Contact Relationship’’ table and 

added a section that displays ‘‘Previous 

Sponsor Applications’’. 

Æ Added a new ‘‘Criminal’’ section 

(three fields) and an area to provide 

details on any criminal charges (nine 

fields). 

Æ Added a ‘‘Documents’’ section in 

which documents directly related to 

case management may be uploaded. 

Æ Removed the ‘‘Recommendations’’ 

and ‘‘Care Plan’’ sections. 

Æ In the ‘‘Certification’’ section, 

created separate areas for both the 

clinician and case manager to certify 

that all required sections of the 

instruments are complete and accurate 

and added ‘‘Translator Name’’ and 

‘‘Language’’ fields. 

8. Individual Service Plan (Form S– 

13): This instrument is used by care 

providers to document all services 

provided to the UAC. ORR revised the 

formatting and reworded some of the 

fields. In addition, ORR added the 

following fields: ‘‘Contract Number’’, 

‘‘Individual Service Plan’’, ‘‘Entity 

Name’’, ‘‘Notes’’, ‘‘List Team Members 

who Contributed to ISP’’, ‘‘Translator 

Name’’, and ‘‘Language’’. In addition, 

ORR added an area where documents 

directly related to the service plan may 

be uploaded. The average burden 

minutes per response was increased 

from 15 to 20 minutes. 

9. Long Term Foster Care Travel 

Request (Form S–14): This instrument is 

used by long term foster care providers 

to request ORR approval for a UAC to 

travel with their foster family outside of 

the local community. ORR revised the 

formatting and reworded some of the 

fields. In addition, ORR added the 

following fields: ‘‘Status’’, 

‘‘Transportation Notes’’, ‘‘Policy #’’, 

‘‘Remand for Further Information’’, and 

‘‘ORR Decision’’. The average burden 

minutes per response was increased 

from 15 to 20 minutes. 

10. Child Advocate Recommendation 

and Appointment (Form S–15): This 

instrument is used by care providers 

and other stakeholders to recommend 

appointment of a child advocate for a 

UAC. The child advocate contractor 

then enters whether a child advocate is 

available and ORR approves the 

appointment. ORR reformatted and 

reorganized the instrument and 

11540 Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 

reworded some of the fields. No changes 

were made to the content. 

11. 30 Day Restrictive Placement Case 

Review (formerly titled Summary Notes: 

Thirty Day Restrictive Placement Case 

Review) (Form S–16): This instrument is 

used by care providers to document 

their 30-day review for UAC in placed 

in a restrictive setting. ORR revised the 

formatting and added the following 

fields: ‘‘Out-of-Network RTC Provider’’, 

‘‘Case Manager Name’’, ‘‘Case 

Coordinator Name’’, ‘‘FFS Name’’, 

‘‘Name and Title’’, and ‘‘Date’’. 

12. Admission (Form S–18): This 

instrument is used by ORR grantee case 

managers and clinicians to document 

the UAC’s initial needs, functioning, 

and history. Other instruments are also 

accessible from within the Admission 

instrument, such as transfer requests, 

travel requests, and various child 

assessments. This is a new instrument 

that ORR plans to add to this collection. 

13. Home Study/Post-Release Service 

(HS/PRS) Referral (Form S–19): This 

instrument is used by ORR grantee case 

managers to refer a UAC for a home 

study and/or post-release services. This 

is a new instrument that ORR plans to 

add to this collection. 

14. UAC Authorized/Restricted Call 

List and Call Log (Form S–20): This 

instrument is used by case managers to 

create a list of authorized and restricted 

contacts to ensure safe communication 

for the UAC and document the details 

of phone calls made by a UAC. This is 

a new instrument that ORR plans to add 

to this collection. 

15. Home Study/Post-Release Service 

(HS/PRS) Primary Provider Entity (Form 

S–21A): This instrument is used by 

grantee HS/PRS providers to add 

identifying information about their 

organization into the UAC Path system. 

Each organization only needs to be 

created once. Field values may be 

updated as often as needed. This is a 

new instrument that ORR plans to add 

to this collection. 

16. Home Study/Post-Release Service 

(HS/PRS) Subcontractor Entity (Form S– 

21B): Entity record. Each organization 

only needs to be created once. Field 

values may be updated as often as 

needed. This is a new instrument that 

ORR plans to add to this collection. 

17. Home Study/Post-Release Service 

(HS/PRS) Primary Provider Profile 

(Form S–21C): This instrument is used 

by HS/PRS providers to add identifying 

information about caseworkers 

employed by their organization. Each 

organization only needs to be created 

once. Field values may be updated as 

often as needed. This is a new 

instrument that ORR plans to add to this 

collection. 

18. Home Study/Post-Release Service 

(HS/PRS) Subcontractor Profile (Form 

S–21D): This instrument is used by HS/ 

PRS providers to add identifying 

information about caseworkers 

employed their sub-grantee 

organizations. Each organization only 

needs to be created once. Field values 

may be updated as often as needed. This 

is a new instrument that ORR plans to 

add to this collection. 

19. Post-Release Service (PRS) Event 

(Form S–22): This instrument is used by 

post-release service caseworkers to 

document referrals made and services 

provided at critical junctures of service 

provision, such as 14 day, 6 month, 12 

month, and closure. The instrument 

contains auto-populated sponsor 

information and areas to document 

information about the HS/PRS provider, 

reason for referral, the minor’s 

placement and safety status, and 

services areas addressed. This is a new 

instrument that ORR plans to add to this 

collection. 

20. Case Manager Call Log and Case 

Notes (Form S–23): This instrument is 

used by case managers to log any 

contact (in-person, phone, video, social 

media, or mail) they make in relation to 

the UAC’s case, including any related 

notes. This is a new instrument that 

ORR plans to add to this collection. 

21. Sponsor Application (Form S–24): 

This instrument is used by care 

providers to document certain 

information and milestones in the 

sponsor application process. This is a 

new instrument that ORR plans to add 

to this collection. 

22. Ohio Youth Assessment System 

(OYAS) Reentry Tool: No changes were 

made to this instrument. 

23. UAC Case Status: ORR is 

discontinuing this instrument. 

Respondents: ORR grantee and 

contractor staff; UAC; sponsors; and 

child advocates. 

ANNUAL BURDEN ESTIMATES

Information collection title 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden 

minutes per 

response 

Annual total 

burden hours 

Sponsor Assessment (Form S–5) ................................................................... 216 265 60 57,240 

Home Study Assessment (Form S–6) ............................................................. 60 81 45 3,645 

Adult Contact Profile (Form S–7) .................................................................... 216 1,324 45 214,488 

Initial Intakes Assessment (Form S–8) ............................................................ 216 278 20 20,016 

Assessment for Risk (Form S–9) .................................................................... 216 556 45 90,072 

UAC Assessment (Form S–11) ....................................................................... 216 278 120 120,096 

UAC Case Review (Form S–12) ..................................................................... 216 556 120 240,192 

Individual Service Plan (Form S–13) ............................................................... 216 694 20 49,968 

Long Term Foster Care Travel Request (Form S–14) .................................... 30 8 20 80 

Child Advocate Recommendation and Appointment (Form S–15) ................. 216 5 15 270 

Thirty Day Restrictive Placement Case Review (Form S–16) ........................ 15 67 45 754 

Admission (Form S–18) ................................................................................... 216 278 20 20,016 

Home Study/Post-Release Service (HS/PRS) Referral (Form S–19) ............. 216 68 20 4,896 

UAC Authorized/Restricted Call List and Call Log (Form S–20) .................... 216 6,981 5 125,658 

Home Study/Post-Release Service (HS/PRS) Primary Provider Entity (Form 

S–21A) ......................................................................................................... 9 1 5 1 

Home Study/Post-Release Service (HS/PRS) Subcontractor Entity (Form 

S–21B) ......................................................................................................... 51 1 5 4 

Home Study/Post-Release Service (HS/PRS) Primary Provider Profile 

(Form S–21C) .............................................................................................. 9 13 5 10 

Home Study/Post-Release Service (HS/PRS) Subcontractor Profile (Form 

S–21D) ......................................................................................................... 51 13 5 55 

Post-Release Service (PRS) Event (Form S–22) ........................................... 60 968 60 58,080 

Case Manager Call Log and Case Notes (Form S–23) .................................. 216 8,426 5 151,668 

Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices 11541 

ANNUAL BURDEN ESTIMATES—Continued 

Information collection title 

Annual 

number of 

respondents 

Annual 

number of 

responses per 

respondent 

Average 

burden 

minutes per 

response 

Annual total 

burden hours 

Sponsor Application (Form S–24) ................................................................... 216 265 60 57,240 

Ohio Youth Assessment System (OYAS) Reentry Tool ................................. 15 101 75 1,894 

Estimated Annual Burden Hours Total ..................................................... ........................ ........................ ........................ 1,216,343 

Comments: 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. 

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. 2021–03897 Filed 2–24–21; 8:45 am] 

BILLING CODE 4184–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

[OMB No. 0985–New] 

Agency Information Collection 

Activities; Proposed Collection; 

Comment Request; State Performance 

Report 

AGENCY: Administration for Community 

Living, HHS. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

an opportunity for the public to 

comment on the proposed collection of 

information listed above. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), Federal agencies are required to 

publish a notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension of an existing collection of 

information, and to allow 60 days for 

public comment in response to the 

notice. This notice solicits comments on 

the new information collection 

requirements relating to the State 

Performance Report. 

DATES: Comments on the collection of 

information must be submitted 

electronically by 11:59 p.m. (EST) or 

postmarked by April 26, 2021. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: Susan.Jenkins@

acl.hhs.gov. Submit written comments 

on the collection of information to 

Administration for Community Living, 

Washington, DC 20201, Attention: 

Susan Jenkins. 

FOR FURTHER INFORMATION CONTACT: 

Susan Jenkins, Administration for 

Community Living, Washington, DC 

20201, by email at Susan.Jenkins@

acl.hhs.gov or by telephone at 202–795– 

7369. 

SUPPLEMENTARY INFORMATION: Under the 

PRA (44 U.S.C. 3501–3520), Federal 

agencies must obtain approval from the 

Office of Management and Budget 

(OMB) for each collection of 

information they conduct or sponsor. 

‘‘Collection of information’’ is defined 

under the PRA and includes agency 

requests or requirements that members 

of the public submit reports, keep 

records, or provide information to a 

third party. PRA section (44 U.S.C. 

3506(c)(2)(A)) requires Federal agencies 

to provide a 60-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension of an 

existing collection of information, 

before submitting the collection to OMB 

for approval. To comply with this 

requirement, ACL is publishing a notice 

of the proposed collection of 

information set forth in this document. 

The currently approved SPR under 

0985–0008 will expire in FY 2022, 

which is the final reporting year for the 

currently approved OMB control 

number (0985–0008). In order to comply 

with requirements under the PRA it is 

necessary to place this ‘‘new SPR’’ IC 

under a new OMB control number while 

keeping the currently approved SPR 

under 0985–0008 active for remaining 

reporting in FY 2022. 

With respect to the following 

collection of information, ACL invites 

comments on our burden estimates or 

any other aspect of this collection of 

information, including: 

(1) Whether the proposed collection 

of information is necessary for the 

proper performance of ACL’s functions, 

including whether the information will 

have practical utility; 

(2) the accuracy of ACL’s estimate of 

the burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used 

to determine burden estimates; 

(3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and 

(4) ways to minimize the burden of 

the collection of information on 

respondents, including through the use 

of automated collection techniques 

when appropriate, and other forms of 

information technology. 

The purpose of this data collection is 

to fulfill requirements of the Older 

Americans Act and the Government 

Performance and Results Modernization 

Act (GPRA Modernization Act) of 2010 

and related program performance 

activities. Section 202(a)(16) of the OAA 

requires the collection of statistical data 

regarding the programs and activities 

carried out with funds provided under 

the OAA and Section 207(a) directs the 

Assistant Secretary on Aging to prepare 

and submit a report to the President and 

Congress based on those data. 

Section 202(f) directs the Assistant 

Secretary to develop a set of 

performance outcome measures for 

planning, managing, and evaluating 

activities performed and services 

provided under the OAA. Requirements 

pertaining to the measurement and 

evaluation of the impact of all programs 

authorized by the OAA are described in 

section 206(a). The State Performance 

Report is one source of data used to 

develop and report performance 

outcome measures and measure 

program effectiveness in achieving the 

stated goals of the OAA. 

The Administration on Aging (now 

within the Administration for