OMB control number

Administration of Psychotropic Medication to Unaccompanied Alien Children

OMB 0970-0641 · HHS/ACF.

OMB 0970-0641

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.

The latest form for Administration of Psychotropic Medication to Unaccompanied Alien Children expires 2028-01-31 and can be found here.

OMB Details

Psychotropic Medication Informed Consent (Form MMH-1)

Federal Enterprise Architecture: Community and Social Services - Social Services

Form MMH-1Psychotropic Medication Informed ConsentFillable FileableForm and instruction
Form MMH-1 (Spanish)Psychotropic Medication Informed Consent - SpanishFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.