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OMB Control No: 0970-0641	ICR Reference No: 202603-0970-009
Status: Received in OIRA	Previous ICR Reference No: 202411-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: ORR - UCB
Title: Administration of Psychotropic Medication to Unaccompanied Alien Children
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/20/2026

	Requested	Previously Approved
Expiration Date	01/31/2028	01/31/2028
Responses	900	900
Time Burden (Hours)	1,125	1,125
Cost Burden (Dollars)	0	0

Abstract: The Administration of Psychotropic Medication to Unaccompanied Children information collection contains two (2) instruments that allow the Office of Refugee Resettlement (ORR) to obtain informed consent from authorized consenters and informed assent or agreement from unaccompanied children for the administration of psychotropic medication. The collection was last approved by OMB on January 10, 2025 and the current expiration date is January 31, 2028. ORR proposes revisions for both forms in this collection: Psychotropic Medication Informed Consent (Form MMH-1) Psychotropic Medication Assent Notice (Form MMH-2) ORR proposes the following: - Changing the information collection title to Administration of Psychotropic Medication to Unaccompanied Alien Children. - Revisions to bring both forms into compliance with Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. - Updating references to its Division of Health in Form MMH-1 to reflect a recent organizational realignment that changed the division’s name (update to Division of Health, DoH). - To assist care providers in complying with the regulatory requirements found in 45 CFR 410.1306 Language Access Services, ORR proposes translating the forms into Spanish.

Authorizing Statute(s): US Code: 6 USC 279 Name of Law: Homeland Security Act (HSA)
US Code: 8 USC 1232 Name of Law: William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA)

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 59115	07/22/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 90295	11/15/2024
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Psychotropic Medication Assent Notice (Form MMH-2)	MMH-2, MMH-2 (Spanish)	,
Psychotropic Medication Informed Consent (Form MMH-1)	MMH-1 , MMH-1 (Spanish)	,

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	900	900
Annual Time Burden (Hours)	1,125	1,125
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $20,181

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

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