Proposed Information Collection Activity; Mental Health Assessment Form and Onsite Health Intervention Form
Published Date: 7/27/2026
Notice
Summary
The Administration for Children and Families (ACF) Office of Refugee Resettlement (ORR) is requesting a 3-year extension with changes of the Mental Health Assessment Form and Onsite Health Intervention Form (formerly Public Health Investigation Form: Non-TB Illness, and Public Health Investigation Form: Active TB, OMB # 0970- 0509, expiration 9/30/2026). Proposed revisions include merging two forms (Public Health Investigation Forms, Active TB and Non-TB Illness) into the single Onsite Health Intervention (OHI) Form. The proposed restructuring and revisions will improve transparency, lessen burden, improve data quality, and ensure alignment with ORR requirements. In addition, to ensure continuity of care, the request has been revised to include the sharing of health information with the Department of Homeland Security (DHS) in specific circumstances.
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
ORR will share child health data with DHS
If a child in ORR custody is identified by DHS for repatriation, ORR may share relevant health information with DHS to ensure continuity of care. Shared items include the child’s identifying information (name, alien number, date of birth), active diagnoses or concerns that require management, allergies, current medications and dosages, isolation/quarantine requirements, health-related accommodations (including durable medical equipment), and health-related travel restrictions. ORR will request the child’s consent before sharing mental health information.
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Key Dates
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