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Federal Register / Vol. 86, No. 36 / Thursday, February 25, 2021 / Notices Who did UAC live with before placement?
Replaced the Family Information section with the Family and Friends and Adult Contact Relationships sections.
Added new Significant Information section, containing six fields.
In the Medical section, replaced or reworded most fields and expanded the fields related to allergies into multiple fields.
Added a new Medication Overview section, containing three fields.
Revised the available fields in the Observable or Reported Medical Concerns section.
Reduced the number of fields in the Mental Health section to three.
5. Assessment for Risk Form S9:
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 UACs 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 S11: 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:
Added a new Age-determination or Identity Concern section, containing 11 fields.
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.
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.

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Removed the Medical History and Medication Table from the Medical section and added the field Health care needs are being addressed.
Moved fields in the Legal section to the UAC Profile and UAC Legal Information instruments found in other ORR information collections.
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.
Removed the Mental Health/
Behavior section because that information is available in the mental health area of UAC Path.
In the Sponsor Information section, replaced the table with the Adult Contact Relationship table and added a section that displays Previous Sponsor Applications.
Added a Documents section in which documents directly related to case management may be uploaded.
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 S12:
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:
Added a new Age-determination or Identity Concern section, containing 11 fields.
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.
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.
Removed the Medical History and Medication Table from the Medical section.
In the Mental Health section, removed the fields under Psychological Evaluation and added
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the following fields: Date Completed, Date of Evaluation, and Evaluator.
Added a new Case Plan section, containing seven fields.
Moved fields in the Legal section to the UAC Profile and UAC Legal Information instruments found in other ORR information collections.
In the Sponsor Information section, replaced the table with the Adult Contact Relationship table and added a section that displays Previous Sponsor Applications.
Added a new Criminal section three fields and an area to provide details on any criminal charges nine fields.
Added a Documents section in which documents directly related to case management may be uploaded.
Removed the Recommendations and Care Plan sections.
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 S14: 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 S15: 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
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