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