Agency Information Collection Activities: Proposed Collection; Comment Request, 39018-39020 [E8-15470]
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Federal Register / Vol. 73, No. 131 / Tuesday, July 8, 2008 / Notices
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Dated: June 26, 2008.
Randall W. Lutter,
Deputy Commissioner for Policy.
[FR Doc. E8–15471 Filed 7–7–08; 8:45 am]
BILLING CODE 4160–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
ebenthall on PRODPC60 with NOTICES
Agency Information Collection
Activities: Proposed Collection;
Comment Request
In compliance with the requirement
for the opportunity for public comment
on proposed data collection projects
(section 3506(c)(2)(A) of Title 44, United
States Code, as amended by the
Paperwork Reduction Act of 1995, Pub.
L. 104–13), the Health Resources and
Services Administration (HRSA)
publishes periodic summaries of
proposed projects being developed for
submission to the Office of Management
and Budget (OMB) under the Paperwork
Reduction Act of 1995. To request more
information on the proposed project or
to obtain a copy of the data collection
plans and draft instruments, e-mail
VerDate Aug<31>2005
15:11 Jul 07, 2008
Jkt 214001
paperwork@hrsa.gov or call the HRSA
Reports Clearance Officer on (301) 443–
1129.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology.
Proposed Project: Ryan White HIV/
AIDS Program: Client Level Data
Reporting System: New
The Client-Level Data Reporting
System (CLDRS), created in 2008 by the
Health Resources and Services
Administration (HRSA), is designed to
collect information from grantees, as
well as their subcontracted service
providers, funded under Parts A, B, C,
D, and F of the Ryan White HIV/AIDS
Treatment Modernization Act of 2006
(Ryan White HIV/AIDS Program). The
Ryan White HIV/AIDS Program
provides the Federal HIV/AIDS
Programs in the Public Health Service
(PHS) Act under Title XXVI, with the
flexibility to respond effectively to the
changing HIV epidemic. Its emphasis is
on providing life-saving and lifeextending services for people living
with HIV/AIDS across the country, and
on targeting resources to areas that have
the greatest needs.
All Program Parts of the Ryan White
HIV/AIDS Program specify HRSA’s
responsibilities in the administration of
grant funds, the allocation of funds, the
evaluation of programs for the
population served, and the
improvement of the quality of care.
Accurate records of the providers
receiving Ryan White HIV/AIDS
Program funding, the services provided,
and the clients served continue to be
critical to the implementation of the
legislation and thus are necessary for
HRSA to fulfill its responsibilities.
Currently, the HIV/AIDS Bureau
(HAB) requires that all Ryan White HIV/
AIDS Program-funded grantees and their
contracted service providers report
aggregate data annually using the Ryan
White Data Report. Agencies report data
related to the service provider, clients,
service visits provided/clients served,
client demographics, and health
insurance payments. The limitations of
aggregate data are twofold: First,
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
because they lack client identifiers,
aggregate data by definition cannot be
merged and unduplicated across service
providers within a given geographic
area. As a result, grantees, and
ultimately HAB, cannot obtain accurate
counts of the number of individuals
served by the Ryan White HIV/AIDS
Program. Second, aggregate data cannot
be analyzed with the detail that is
required to assess quality of care or to
sufficiently account for the use of Ryan
White HIV/AIDS Program funds.
A well designed and supported client
level data reporting system, using a
unique identifier that will be encrypted
before transfer, would provide the
grantee and HRSA with the requisite
information to assess quality of care and
unmet needs, and the ability to more
accurately and efficiently report these
figures to HAB and other funding
agencies. In addition, HAB will be able
to characterize accurately the number of
clients served by the Ryan White HIV/
AIDS Program and the outcomes of the
program services on a national scale.
The ability to perform detailed analyses
will be possible only if organizations
submit data associated with encrypted
client identifiers. These unique
identifiers must be able to link data for
clients across Ryan White HIV/AIDS
Program-funded grantees and their
subcontracted service providers.
The CLDRS provides data on the
characteristics of Ryan White HIV/AIDS
Program-funded grantees, their
contracted service providers, and the
clients being served with program
funds. It is intended to support clinical
quality management, performance
measurement, service delivery, and
client monitoring at both the system and
client levels. The reporting system
consists of two online data forms, the
Grantee Information Form and the
Service Provider Form. A data file
containing the client level data elements
will be submitted with the two online
data forms on a semi-annual basis.
The new legislation specifies
increased grantee accountability and
linking performance to budget. The
CLDRS will be used to ensure
compliance with the requirements of the
reauthorized legislation, evaluate the
progress of programs, monitor grantee
and provider performance, measure the
Government Performance and Result
Act (GPRA) and the Performance
Assessment Rating Tool (PART) goals,
and meet reporting responsibilities to
the Department, Congress, and OMB. In
addition to meeting the goal of
accountability to Congress, clients,
advocacy groups, and the general
public, information collected through
the CLDRS is critical for HRSA, State
E:\FR\FM\08JYN1.SGM
08JYN1
39019
Federal Register / Vol. 73, No. 131 / Tuesday, July 8, 2008 / Notices
and local grantees, and individual
providers. Through the CLDRS, these
groups will assess the status of existing
HIV-related service delivery systems to
investigate trends in service utilization,
and to identify areas of greatest need.
Discussions were conducted with 12
volunteer grantee agencies representing
Parts A, B, C, D, and Minority AIDS
Initiatives, Parts A and B, as a basis for
the burden estimates for the CLDRS
components that follow. These burden
estimates are broken out by burden to
grantee respondents and burden to
provider respondents, and are presented
in two tables. The first table represents
Component
the estimated burden for the first 6month data submission. The second
table represents the estimated burden
for each subsequent 6-month data
submission. The estimated number of
visits per 6-month reporting period
ranged from 1 to 17, with an average
(mean) of 4 client visits per reporting
period and a median of 2 client visits
per reporting period.
The number of clients is estimated
two ways. The first estimate is based on
providers that reported outpatient/
ambulatory medical care, medical case
management, and/or non-medical case
management services in the 2007 Ryan
Number of
respondents
Source of funding
Grantee Form ...........................
Subtotal .............................
Part
Part
Part
Part
Part
Part
White Data Report. These providers will
be required to report client level data
beginning in 2009. This first estimate
excludes providers of other direct client
services because these providers will
not be required to report client level
data until 2010. The second estimate
includes all providers that reported
direct client services in the 2007 Ryan
White Data Report.
The estimated response burden for the
first 6-month reporting period CLDRS
submission is as follows:
The response burden for grantees is
estimated as:
Hours to complete/coordinate
receipt of
data reports
Responses per
grantee
Total hour
burden
A ........................................
B ........................................
C .......................................
D .......................................
A MAI ................................
B MAI ................................
56
57
357
90
56
30
1
1
1
1
1
1
1.27
6.00
0.39
0.67
1.27
10.00
71
342
139
60
71
300
...................................................
646
............................
............................
983
Responses
per grantee
Hours to develop/adjust
CLD system
Number of
respondents
Component
CLD Collection System ....................................................................
563
1
1108.80
Total hour
burden
624254
The response burden for service
providers is estimated as:
Number of
respondents
Component
Provider Form ..............................................................................
2253
* 1511
Client Data File ................................................
* Outpatient/ambulatory
** All
Total responses
Hours to collect/
report
data per
respondent
745784
881703
1.65
1.65
Total hour
burden
5295
Total hour
burden
1230544
1454810
medical care, medical case management, and/or non-medical case management providers only.
providers.
The estimated response burden for all
subsequent 6-month reporting period
CLDRS submissions is as follows:
Component
ebenthall on PRODPC60 with NOTICES
2.35
493.57
417.47
** 2112
Hours per
response
1
Responses
(clients served)
per provider
Number of
respondents
Component
Responses
per provider
Grantee Form ...........................
VerDate Aug<31>2005
15:11 Jul 07, 2008
The response burden for grantees is
estimated as:
Number of
respondents
Source of funding
Part
Part
Part
Part
Part
A ........................................
B ........................................
C .......................................
D .......................................
A MAI ................................
Jkt 214001
PO 00000
Frm 00052
Fmt 4703
56
57
357
90
56
Sfmt 4703
Hours to complete/coordinate
receipt of
data reports
Responses per
grantee
E:\FR\FM\08JYN1.SGM
1
1
1
1
1
08JYN1
1.02
1.50
0.32
0.33
1.02
Total hour
burden
57
86
114
30
57
39020
Federal Register / Vol. 73, No. 131 / Tuesday, July 8, 2008 / Notices
Component
Number of
respondents
Source of funding
Hours to complete/coordinate
receipt of
data reports
Responses per
grantee
Total hour
burden
Part B MAI ................................
1
2.00
60
...................................................
Subtotal .............................
30
646
............................
............................
404
Responses
per provider
Hours per
response
The response burden for service
providers is estimated as:
Number of
respondents
Component
Provider Form ..................................................................................
Number of
respondents
Component
2253
* 1511
Client Data File ............................................
** All
745784
881703
1.65
1.65
5182
Total hour
burden
1230544
1454810
medical care, medical case management, and/or non-medical case management providers only.
providers.
E-mail comments to
paperwork@hrsa.gov or mail comments
to the HRSA Reports Clearance Officer,
Room 10–33, Parklawn Building, 5600
Fishers Lane, Rockville, Maryland
20857. Written comments should be
received within 60 days of this notice.
Information can also be accessed at
https://datasupport.hab.hrsa.gov/.
Dated: June 30, 2008.
Alexandra Huttinger,
Director, Division of Policy Review and
Coordination.
[FR Doc. E8–15470 Filed 7–7–08; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Library of Medicine; Notice of
Meetings
ebenthall on PRODPC60 with NOTICES
Hours to collect/
report
data per
respondent
493.57
417.47
** 2112
* Outpatient/ambulatory
2.30
Total responses
Responses
(clients served)
per provider
1
Total hour
burden
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. Appendix 2), notice
is hereby given of meetings of the Board
of Regents of the National Library of
Medicine.
The meetings will be open to the
public as indicated below, with
attendance limited to space available.
Individuals who plan to attend and
need special assistance, such as sign
language interpretation or other
reasonable accommodations, should
notify the Contact Person listed below
in advance of the meeting.
VerDate Aug<31>2005
15:11 Jul 07, 2008
Jkt 214001
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Board of Regents of
the National Library of Medicine; Extramural
Programs Subcommittee.
Date: September 15, 2008.
Closed: 4 p.m. to 6 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Library of Medicine,
Building 38, Conference Room B, 8600
Rockville Pike, Bethesda, MD 20892.
Contact Person: Donald A.B. Lindberg, MD,
Director, National Library of Medicine, 8600
Rockville Pike, Bethesda, MD 20894, 301–
496–6221, lindberg@mail.nih.gov.
Name of Committee: Board of Regents of
the National Library of Medicine;
Subcommittee on Outreach and Public
Information.
Date: September 16, 2008.
Open: 7:30 a.m. to 8:45 a.m.
Agenda: Outreach Activities.
Place: National Library of Medicine,
Building 38, Conference Room B, 8600
Rockville Pike, Bethesda, MD 20892.
Contact Person: Donald A.B. Lindberg, MD,
Director, National Library of Medicine, 8600
Rockville Pike, Bethesda, MD 20894, 301–
496–6221, lindberg@mail.nih.gov.
Name of Committee: Board of Regents of
the National Library of Medicine.
PO 00000
Frm 00053
Fmt 4703
Sfmt 4703
Date: September 16–17, 2008.
Open: September 16, 2008, 9 a.m. to 4:30
p.m.
Agenda: Program Discussion.
Place: National Library of Medicine,
Building 38, Board Room, 2nd Floor, 8600
Rockville Pike, Bethesda, MD 20892.
Closed: September 16, 2008, 4:30 p.m. to
5 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Library of Medicine,
Building 38, Board Room, 2nd Floor, 8600
Rockville Pike, Bethesda, MD 20892.
Open: September 17, 2008, 9 a.m. to 12
p.m.
Agenda: Program Discussion.
Place: National Library of Medicine,
Building 38, Board Room, 2nd Floor 8600
Rockville Pike, Bethesda, MD 20892.
Contact Person: Donald A.B. Lindberg, MD,
Directorm National Library of Medicine, 8600
Rockville Pike, Bethesda, MD 20894, 301–
496–6221, lindberg@mail.nih.gov.
Any interested person may file written
comments with the committee by forwarding
the statement to the Contact Person listed on
this notice. The statement should include the
name, address, telephone number and when
applicable, the business or professional
affiliation of the interested person.
In the interest of security, NIH has
instituted stringent procedures for entrance
onto the NIH campus. All visitor vehicles,
including taxicabs, hotel, and airport shuttles
will be inspected before being allowed on
campus. Visitors will be asked to show one
form of identification (for example, a
government-issued photo ID, drivers license,
or passport) and to state the purpose of their
visit.
Information is also available on the
Institutes/Center’s home page: https://
www.nlm.nih.gov/od/bor/bor.html, where an
agenda and any additional information for
the meeting will be posted when available.
E:\FR\FM\08JYN1.SGM
08JYN1
]]>Agencies
[Federal Register Volume 73, Number 131 (Tuesday, July 8, 2008)]
[Notices]
[Pages 39018-39020]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-15470]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with the requirement for the opportunity for public
comment on proposed data collection projects (section 3506(c)(2)(A) of
Title 44, United States Code, as amended by the Paperwork Reduction Act
of 1995, Pub. L. 104-13), the Health Resources and Services
Administration (HRSA) publishes periodic summaries of proposed projects
being developed for submission to the Office of Management and Budget
(OMB) under the Paperwork Reduction Act of 1995. To request more
information on the proposed project or to obtain a copy of the data
collection plans and draft instruments, e-mail paperwork@hrsa.gov or
call the HRSA Reports Clearance Officer on (301) 443-1129.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Ryan White HIV/AIDS Program: Client Level Data
Reporting System: New
The Client-Level Data Reporting System (CLDRS), created in 2008 by
the Health Resources and Services Administration (HRSA), is designed to
collect information from grantees, as well as their subcontracted
service providers, funded under Parts A, B, C, D, and F of the Ryan
White HIV/AIDS Treatment Modernization Act of 2006 (Ryan White HIV/AIDS
Program). The Ryan White HIV/AIDS Program provides the Federal HIV/AIDS
Programs in the Public Health Service (PHS) Act under Title XXVI, with
the flexibility to respond effectively to the changing HIV epidemic.
Its emphasis is on providing life-saving and life-extending services
for people living with HIV/AIDS across the country, and on targeting
resources to areas that have the greatest needs.
All Program Parts of the Ryan White HIV/AIDS Program specify HRSA's
responsibilities in the administration of grant funds, the allocation
of funds, the evaluation of programs for the population served, and the
improvement of the quality of care. Accurate records of the providers
receiving Ryan White HIV/AIDS Program funding, the services provided,
and the clients served continue to be critical to the implementation of
the legislation and thus are necessary for HRSA to fulfill its
responsibilities.
Currently, the HIV/AIDS Bureau (HAB) requires that all Ryan White
HIV/AIDS Program-funded grantees and their contracted service providers
report aggregate data annually using the Ryan White Data Report.
Agencies report data related to the service provider, clients, service
visits provided/clients served, client demographics, and health
insurance payments. The limitations of aggregate data are twofold:
First, because they lack client identifiers, aggregate data by
definition cannot be merged and unduplicated across service providers
within a given geographic area. As a result, grantees, and ultimately
HAB, cannot obtain accurate counts of the number of individuals served
by the Ryan White HIV/AIDS Program. Second, aggregate data cannot be
analyzed with the detail that is required to assess quality of care or
to sufficiently account for the use of Ryan White HIV/AIDS Program
funds.
A well designed and supported client level data reporting system,
using a unique identifier that will be encrypted before transfer, would
provide the grantee and HRSA with the requisite information to assess
quality of care and unmet needs, and the ability to more accurately and
efficiently report these figures to HAB and other funding agencies. In
addition, HAB will be able to characterize accurately the number of
clients served by the Ryan White HIV/AIDS Program and the outcomes of
the program services on a national scale. The ability to perform
detailed analyses will be possible only if organizations submit data
associated with encrypted client identifiers. These unique identifiers
must be able to link data for clients across Ryan White HIV/AIDS
Program-funded grantees and their subcontracted service providers.
The CLDRS provides data on the characteristics of Ryan White HIV/
AIDS Program-funded grantees, their contracted service providers, and
the clients being served with program funds. It is intended to support
clinical quality management, performance measurement, service delivery,
and client monitoring at both the system and client levels. The
reporting system consists of two online data forms, the Grantee
Information Form and the Service Provider Form. A data file containing
the client level data elements will be submitted with the two online
data forms on a semi-annual basis.
The new legislation specifies increased grantee accountability and
linking performance to budget. The CLDRS will be used to ensure
compliance with the requirements of the reauthorized legislation,
evaluate the progress of programs, monitor grantee and provider
performance, measure the Government Performance and Result Act (GPRA)
and the Performance Assessment Rating Tool (PART) goals, and meet
reporting responsibilities to the Department, Congress, and OMB. In
addition to meeting the goal of accountability to Congress, clients,
advocacy groups, and the general public, information collected through
the CLDRS is critical for HRSA, State
[[Page 39019]]
and local grantees, and individual providers. Through the CLDRS, these
groups will assess the status of existing HIV-related service delivery
systems to investigate trends in service utilization, and to identify
areas of greatest need.
Discussions were conducted with 12 volunteer grantee agencies
representing Parts A, B, C, D, and Minority AIDS Initiatives, Parts A
and B, as a basis for the burden estimates for the CLDRS components
that follow. These burden estimates are broken out by burden to grantee
respondents and burden to provider respondents, and are presented in
two tables. The first table represents the estimated burden for the
first 6-month data submission. The second table represents the
estimated burden for each subsequent 6-month data submission. The
estimated number of visits per 6-month reporting period ranged from 1
to 17, with an average (mean) of 4 client visits per reporting period
and a median of 2 client visits per reporting period.
The number of clients is estimated two ways. The first estimate is
based on providers that reported outpatient/ambulatory medical care,
medical case management, and/or non-medical case management services in
the 2007 Ryan White Data Report. These providers will be required to
report client level data beginning in 2009. This first estimate
excludes providers of other direct client services because these
providers will not be required to report client level data until 2010.
The second estimate includes all providers that reported direct client
services in the 2007 Ryan White Data Report.
The estimated response burden for the first 6-month reporting
period CLDRS submission is as follows:
The response burden for grantees is estimated as:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Hours to
complete/
Component Source of funding Number of Responses per coordinate Total hour
respondents grantee receipt of data burden
reports
--------------------------------------------------------------------------------------------------------------------------------------------------------
Grantee Form.................................. Part A.......................... 56 1 1.27 71
Part B.......................... 57 1 6.00 342
Part C.......................... 357 1 0.39 139
Part D.......................... 90 1 0.67 60
Part A MAI...................... 56 1 1.27 71
Part B MAI...................... 30 1 10.00 300
---------------------------------------------------------------------------------------------------------
Subtotal.................................. ................................ 646 ................ ................ 983
--------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
Hours to develop/
Component Number of Responses per adjust CLD Total hour
respondents grantee system burden
----------------------------------------------------------------------------------------------------------------
CLD Collection System................... 563 1 1108.80 624254
----------------------------------------------------------------------------------------------------------------
The response burden for service providers is estimated as:
----------------------------------------------------------------------------------------------------------------
Number of Responses per Hours per Total hour
Component respondents provider response burden
----------------------------------------------------------------------------------------------------------------
Provider Form......................... 2253 1 2.35 5295
----------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------
Responses Hours to collect/
Component Number of (clients served) Total responses report data per Total hour
respondents per provider respondent burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
Client Data File.............................................. \*\ 1511 493.57 745784 1.65 1230544
\**\ 2112 417.47 881703 1.65 1454810
--------------------------------------------------------------------------------------------------------------------------------------------------------
\*\ Outpatient/ambulatory medical care, medical case management, and/or non-medical case management providers only.
\**\ All providers.
The estimated response burden for all subsequent 6-month reporting
period CLDRS submissions is as follows:
The response burden for grantees is estimated as:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Hours to
complete/
Component Source of funding Number of Responses per coordinate Total hour
respondents grantee receipt of data burden
reports
--------------------------------------------------------------------------------------------------------------------------------------------------------
Grantee Form.................................. Part A.......................... 56 1 1.02 57
Part B.......................... 57 1 1.50 86
Part C.......................... 357 1 0.32 114
Part D.......................... 90 1 0.33 30
Part A MAI...................... 56 1 1.02 57
[[Page 39020]]
Part B MAI...................... 30 1 2.00 60
---------------------------------------------------------------------------------------------------------
Subtotal.................................. ................................ 646 ................ ................ 404
--------------------------------------------------------------------------------------------------------------------------------------------------------
The response burden for service providers is estimated as:
----------------------------------------------------------------------------------------------------------------
Number of Responses per Hours per Total hour
Component respondents provider response burden
----------------------------------------------------------------------------------------------------------------
Provider Form........................... 2253 1 2.30 5182
----------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------
Responses Hours to collect/
Component Number of (clients served) Total responses report data per Total hour
respondents per provider respondent burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
Client Data File............................................ \*\ 1511 493.57 745784 1.65 1230544
\**\ 2112 417.47 881703 1.65 1454810
--------------------------------------------------------------------------------------------------------------------------------------------------------
\*\ Outpatient/ambulatory medical care, medical case management, and/or non-medical case management providers only.
\**\ All providers.
E-mail comments to paperwork@hrsa.gov or mail comments to the HRSA
Reports Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers
Lane, Rockville, Maryland 20857. Written comments should be received
within 60 days of this notice. Information can also be accessed at
https://datasupport.hab.hrsa.gov/.
Dated: June 30, 2008.
Alexandra Huttinger,
Director, Division of Policy Review and Coordination.
[FR Doc. E8-15470 Filed 7-7-08; 8:45 am]
BILLING CODE 4165-15-P
