Agency Information Collection Activities: Submission for OMB Review; Comment Request, 9586 [E6-2666]

Download as PDF 9586 Federal Register / Vol. 71, No. 37 / Friday, February 24, 2006 / Notices Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a copy of the clearance requests submitted to OMB for review, call the HRSA Reports Clearance Office on (301)–443–1129. The following request has been submitted to the Office of Management and Budget for review under the Paperwork Reduction Act of 1995: DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Submission for OMB Review; Comment Request Periodically, the Health Resources and Services Administration (HRSA) publishes abstracts of information collection requests under review by the Office of Management and Budget (OMB), in compliance with the Proposed Project: Uncompensated Services Assurance Report (OMB No. 0915–0077)—Extension Under the Hill-Burton Act, the government provides grants and loans for construction or renovation of health care facilities. As a condition of receiving this construction assistance, facilities are required to provide services to persons unable to pay. A condition of receiving this assistance requires facilities to provide assurances periodically that the required level of uncompensated care is being provided, and that certain notification and record keeping procedures are being followed. These requirements are referred to as the uncompensated services assurance. ESTIMATE OF INFORMATION COLLECTION BURDEN Responses per respondent Number of respondents Type of requirement and regulatory citation Total responses Hours per response Total hour burden Disclosure Burden (42 CFR) Published Notices (124.504(c)) ........................................... Individual Notices (124.504(c)) ............................................ Determinations of Eligibility (124.507) ................................. 140 140 140 1 1 396 140 140 55,440 0.40 26 0.40 56 3,640 22,176 Subtotal Disclosure Burden ................................... ........................ ........................ ........................ ........................ 25,872 5 1 5 11.0 55 2 2 3 1 1 1 2 2 3 6.0 6.0 6.0 12 12 18 52 19 67 1 1 1 52 19 67 0.5 0.5 0.5 26 9.5 33.5 2 2 1 1 2 2 0.25 0.5 .5 1 ........................ ........................ ........................ ........................ 167.5 Number of recordkeepers Hours per year Non-alternative Facilities (124.510(a)) ........................................................................................ Unrestricted Availability (124.510(b)) .......................................................................................... 73 67 50 50 3,650 3,350 Subtotal Recordkeeping Burden ................................................................................... ........................ ........................ 7,000 Reporting Uncompensated Services Report—HRSA–710 Form (124.509(a)) ...................................................................... Application for Compliance Alternatives: Public Facilities (124.513) ............................................ Charitable Facilities (124.516(c)) .................................. Unrestricted Availability (124.517(b)) ........................... Annual Certification for Compliance Alternatives: Public Facilities (124.509(b)) ........................................ Charitable Facilities (124.509(b)) ................................. Unrestricted Availability (124.509(e)) ........................... Complaint Information (124.511(a)): Individuals ..................................................................... Facilities ........................................................................ Subtotal Reporting Burden .................................... wwhite on PROD1PC65 with NOTICES Recordkeeping The total burden for this project is estimated to be 33,039.5 hours. Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice to: John Kraemer, Human Resources and Housing Branch, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, DC 20503. Dated: February 21, 2006. Tina M. Cheatham, Director, Division of Policy Review and Coordination. [FR Doc. E6–2666 Filed 2–23–06; 8:45 am] DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR–5037–N–10] Notice of Submission of Proposed Information Collection to OMB; Applications for Housing Assistance Payments: Special Claims Processing BILLING CODE 4165–15–P Office of the Chief Information Officer, HUD. AGENCY: ACTION: VerDate Aug<31>2005 18:14 Feb 23, 2006 Jkt 208001 PO 00000 Total hour burden Frm 00074 Fmt 4703 Sfmt 4703 E:\FR\FM\24FEN1.SGM Notice. 24FEN1

Agencies

[Federal Register Volume 71, Number 37 (Friday, February 24, 2006)]
[Notices]
[Page 9586]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-2666]



[[Page 9586]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, call the 
HRSA Reports Clearance Office on (301)-443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: Uncompensated Services Assurance Report (OMB No. 
0915-0077)--Extension

    Under the Hill-Burton Act, the government provides grants and loans 
for construction or renovation of health care facilities. As a 
condition of receiving this construction assistance, facilities are 
required to provide services to persons unable to pay. A condition of 
receiving this assistance requires facilities to provide assurances 
periodically that the required level of uncompensated care is being 
provided, and that certain notification and record keeping procedures 
are being followed. These requirements are referred to as the 
uncompensated services assurance.

                                    Estimate of Information Collection Burden
----------------------------------------------------------------------------------------------------------------
     Type of requirement and         Number of     Responses per       Total         Hours per      Total hour
       regulatory citation          respondents     respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
                                           Disclosure Burden (42 CFR)
----------------------------------------------------------------------------------------------------------------
Published Notices (124.504(c))..             140               1             140            0.40              56
Individual Notices (124.504(c)).             140               1             140              26           3,640
Determinations of Eligibility                140             396          55,440            0.40          22,176
 (124.507)......................
                                 -------------------------------------------------------------------------------
        Subtotal Disclosure       ..............  ..............  ..............  ..............          25,872
         Burden.................
----------------------------------------------------------------------------------------------------------------
                                                    Reporting
----------------------------------------------------------------------------------------------------------------
Uncompensated Services Report--                5               1               5            11.0              55
 HRSA-710 Form (124.509(a)).....
Application for Compliance
 Alternatives:
    Public Facilities (124.513).               2               1               2             6.0              12
    Charitable Facilities                      2               1               2             6.0              12
     (124.516(c))...............
    Unrestricted Availability                  3               1               3             6.0              18
     (124.517(b))...............
Annual Certification for
 Compliance Alternatives:
    Public Facilities                         52               1              52             0.5              26
     (124.509(b))...............
    Charitable Facilities                     19               1              19             0.5             9.5
     (124.509(b))...............
    Unrestricted Availability                 67               1              67             0.5            33.5
     (124.509(e))...............
Complaint Information
 (124.511(a)):
    Individuals.................               2               1               2            0.25              .5
    Facilities..................               2               1               2             0.5               1
                                 -------------------------------------------------------------------------------
        Subtotal Reporting        ..............  ..............  ..............  ..............           167.5
         Burden.................
----------------------------------------------------------------------------------------------------------------


----------------------------------------------------------------------------------------------------------------
                                                                     Number of                      Total hour
                          Recordkeeping                            recordkeepers  Hours per year      burden
----------------------------------------------------------------------------------------------------------------
Non-alternative Facilities (124.510(a)).........................              73              50           3,650
Unrestricted Availability (124.510(b))..........................              67              50           3,350
                                                                 -----------------------------------------------
        Subtotal Recordkeeping Burden...........................  ..............  ..............           7,000
----------------------------------------------------------------------------------------------------------------

    The total burden for this project is estimated to be 33,039.5 
hours.
    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to: 
John Kraemer, Human Resources and Housing Branch, Office of Management 
and Budget, New Executive Office Building, Room 10235, Washington, DC 
20503.

    Dated: February 21, 2006.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. E6-2666 Filed 2-23-06; 8:45 am]
BILLING CODE 4165-15-P