Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices 62797 

these approaches relate to the provision 

of high-quality, comprehensive ECE 

services in Head Start programs; 

understand policy levers and conditions 

that influence Head Start programs’ 

decisions around and ability to 

coordinate funding; and document how 

participation in coordinated funding 

relates to Head Start’s engagement with 

other ECE programs and system efforts. 

The resulting insights will inform ACF 

about the prevalence of coordinated 

funding in Head Start, facilitators and 

challenges of coordinated funding for 

Head Start programs, and potential 

associations with program quality. They 

will also inform future case studies. 

Respondents: Head Start Program 

Directors, state-based Head Start 

Collaboration Office Directors, state 

administrators of state pre-kindergarten 

funds, and state-based administrators of 

federal CCDF. 

ANNUAL BURDEN ESTIMATES

Instrument 

Number of 

respondents 

(total over 

request 

period) 

Number of 

responses per 

respondent 

(total over 

request 

period) 

Average 

burden per 

response 

(in hours) 

Total/annual 

burden 

(in hours) 

Program Director Survey (Head Start Program Directors or financial administrators) ....................................................................................................... 1,642 1 .83 1,363 

ECE State Administrator Survey (State-based Head Start Collaboration Office Directors, administrators of state pre-kindergarten funds, state-based 

administrators of federal CCDF) .................................................................. 138 1 .60 83 

Estimated Total Annual Burden 

Hours: 1,446. 

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: 42 U.S.C. 9835; 42 U.S.C. 

9844. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2023–19722 Filed 9–12–23; 8:45 am] 

BILLING CODE 4184–22–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review: 

Strengthening Child Welfare Systems 

To Achieve Expected Child and Family 

Outcomes Evaluation (New Collection) 

AGENCY: Children’s Bureau, 

Administration for Children and 

Families, United States Department of 

Health and Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Children’s Bureau, 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services, is 

proposing to collect data for a new 

process and outcome study, 

Strengthening Child Welfare Systems to 

Achieve Expected Child and Family 

Outcomes (SCWS) Evaluation. 

DATES: Comments due within 30 days of 

publication. The Office of Management 

and Budget (OMB) must make a 

decision about 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. You can also obtain 

copies of the proposed collection of 

information by emailing infocollection@

acf.hhs.gov. Identify all emailed 

requests by the title of the information 

collection. 

SUPPLEMENTARY INFORMATION: 

Description: The SCWS study will 

collect information to understand (1) 

implementation processes and the 

impact of grant interventions and (2) 

examine whether and the degree to 

which grant recipients were able to 

address common Child and Family 

Services Reviews (CFSR) outcomes. 

Proposed data sources for this effort 

include one survey and one focus group. 

The survey will gather information to 

understand the factors that supported or 

hindered implementation, as well as 

assess collaboration efforts and the 

intended impact of grant interventions. 

The focus groups will gather 

information to understand 

implementation of SCWS strategies and 

interventions, successes and challenges, 

and the perceived effect of the strategies 

on short and long-term child welfare 

outcomes, with specific attention to 

CFSR outcomes related to permanency. 

Respondents: Respondents will 

include grant recipient staff, evaluators, 

and community partners. 


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62798 Federal Register / Vol. 88, No. 176 / Wednesday, September 13, 2023 / Notices 

ANNUAL BURDEN ESTIMATES

Instrument 

Total number 

of 

respondents 

Total number 

of 

responses per 

respondent 

Average 

burden 

hours per 

response 

Total/annual 

burden hours 

SCWS web-based survey ................................................................................ 60 1 0.5 30 

SCWS focus group .......................................................................................... 30 1 1.5 45 

Estimated Total Annual Burden 

Hours: 75. 

Authority: Title II, section 203(b)(4) of 

the Child Abuse Prevention and 

Treatment and Adoption Reform Act of 

1978 (42 U.S.C. 5113(b)(4)). 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2023–19775 Filed 9–12–23; 8:45 am] 

BILLING CODE 4184–29–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Serious Medical Procedure 

Request (SMR) Form (Office of 

Management and Budget #: 0970–0561) 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families, U.S. Department of Health and 

Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Administration for 

Children and Families’ (ACF) Office of 

Refugee Resettlement is requesting a 3- 

year extension of the Serious Medical 

Procedure Request (SMR) Form (Office 

of Management and Budget #0970–0561, 

expiration February 29, 2024). Revisions 

are proposed to the currently approved 

form. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of the Paperwork 

Reduction Act of 1995, ACF is soliciting 

public comment on the specific aspects 

of the information collection described 

above. 

ADDRESSES: You can obtain copies of the 

proposed collection of information and 

submit comments by emailing 

infocollection@acf.hhs.gov. Identify all 

requests by the title of the information 

collection. 

SUPPLEMENTARY INFORMATION: 

Description: ACF’s ORR places 

unaccompanied children in their 

custody in care provider programs until 

unification with a qualified sponsor. 

Care provider programs are required to 

provide children with a range of 

services including medical, dental, and 

mental healthcare. Children identified 

as having a serious medical or dental 

condition may require a procedure 

while in ORR custody to maintain and 

promote their health and wellbeing. 

Procedures requiring general anesthesia, 

surgeries, and invasive diagnostic 

procedures (e.g., cardiac catheterization, 

invasive biopsy, amniocentesis) require 

advance ORR approval. Before ORR can 

approve, data must be collected on the 

SMR form and submitted to ORR by the 

care provider program (e.g., care 

provider program’s contact information, 

child demographics, authorized 

consenter, unification status) and the 

lead surgeon (e.g., reason for the 

procedure, potential risks/ 

complications/adverse outcomes if the 

procedure is not performed, timing, 

recovery timeframe, planned follow-up 

procedures, hospital points of contact). 

ORR will waive the completion of the 

SMR form if it is deemed to be in the 

best interest of the child (e.g., during a 

hospitalization or emergency 

department visit, related to a medical 

emergency). 

The form is used as a worksheet for 

care provider program staff and 

surgeons to compile information that 

would otherwise have been collected 

during the health evaluation. Once 

completed, care provider program staff 

upload the form and supporting 

documentation into ORR’s secure, 

electronic data record system and send 

an email notification to ORR staff that 

the SMR packet is ready for review. 

ORR has incorporated changes to the 

form to streamline the flow of data 

collection, clarify intent and purpose of 

the form and fields, improve data 

quality, and ensure alignment with ORR 

program policies. The overall estimated 

time per form has increased by 1 minute 

and has been adjusted to reflect a 

decrease by 1 minute for care provider 

program staff and an increase by 2 

minutes for surgeons. 

Respondents: Care provider program 

staff, surgeons. 

Annual Burden Estimates 

There are currently about 250 

programs that use the SMR form. Over 

the past 2 years, an annual average of 

115 SMR forms were submitted across 

all programs. For each form, a care 

provider program staff member 

completes page 1, and a surgeon 

completes pages 2 and 3. 

ESTIMATED REPORTING TIME FOR RESPONDENTS

Instrument Respondent Total number 

of respondents 

Total number 

of responses 

per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Annual burden 

hours 

SMR Form ........................... Care Provider Program 

Staff.

250 1.38 .07 24.15 8 

Surgeons ............................ 250 1.38 .17 58.65 20 

Total Annual Burden 

Estimate.

............................................. ........................ ........................ ........................ ........................ 28 


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