Request for Public Comment: 30-Day Information Collection: Indian Health Service Medical Staff Credentials, 10705-10707 [2020-03659]

Download as PDF Federal Register / Vol. 85, No. 37 / Tuesday, February 25, 2020 / Notices is requesting OMB to approve an extension for this collection, which expires on February 29, 2020. This proposed information collection project was previously published in the Federal Register (84 FR 70982) on December 26, 2019, and allowed 60 days for public comment, as required by the PRA. The IHS received no comments regarding this collection. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. jbell on DSKJLSW7X2PROD with NOTICES DATES: Comment Due Date: March 26, 2020. Your comments regarding this information collection are best assured of having full effect if received within 30 days of the date of this publication. Direct Your Comments to OMB: Send your comments and suggestions regarding the proposed information collection contained in this notice, especially regarding the estimated public burden and associated response time to: Office of Management and Budget, Office of Regulatory Affairs, New Executive Office Building, Room 10235, Washington, DC 20503, Attention: Desk Officer for IHS. SUPPLEMENTARY INFORMATION: This previously approved information collection project was last published in the Federal Register (84 FR 70982) on December 26, 2019. No public comment was received in response to the notice. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. A copy of the supporting statement is available at www.regulations.gov (see Docket ID IHS–2016–0003). Information Collection: Title: ‘‘Indian Self-Determination and Education Assistance Act Contracts, 25 CFR part 900.’’ OMB Control Number: 0917–0037. Title: Indian Self-Determination and Education Assistance Act Contracts. Brief Description of Collection: An Indian Tribe or Tribal Organization is required to submit certain information when it proposes to contract with the IHS under the ISDEAA. Each response may vary in its length. In addition, each Subpart of 25 CFR part 900 concerns different parts of the contracting process. For example, Subpart C relates to provisions of the contents for the initial contract proposal. The respondents do not incur the burden associated with Subpart C when contracts are renewed. Subpart F describes minimum standards for management systems used by Indian Tribes or Tribal Organizations under these contracts. Subpart G addresses the negotiability of all reporting and data VerDate Sep<11>2014 20:34 Feb 24, 2020 Jkt 250001 requirements in the contracts. Responses are required to obtain or retain a benefit. Type of Review: Extension of currently approved collection. Respondents: Federally recognized Indian Tribes and Tribal Organizations. Number of Respondents: 275 Title I contractors. Estimated Number of Responses: On average, IHS receives 10 proposals for new or expanded Title I agreements each fiscal year, plus there are 265 existing Title I contracts and associated annual funding agreements, which must be negotiated each year = 275 responses. Estimated Time per Response: Average of 70 hours for the new/ expanded; average of 35 hours for the existing. Frequency of Response: Each time programs, functions, services or activities are contracted from the IHS under the ISDEAA. Estimated Total Annual Hour Burden: 700 [70 × 10] for new/expanded + 9,275 [35 × 265] for existing = 9,975. Requests for Comments: Your written comments and/or suggestions are invited on one or more of the following points: (a) The necessity of this information collection for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) the accuracy of the agency’s estimate of the burden (hours and cost) of the collection of information, including the validity of the methodology and assumptions used; (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 the information on the respondents. Michael D. Weahkee, Assistant Surgeon General, U.S. Public Health Service, Principal Deputy Director, Indian Health Service. [FR Doc. 2020–03660 Filed 2–24–20; 8:45 am] BILLING CODE 4165–16–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Information Collection: Indian Health Service Medical Staff Credentials Indian Health Service, HHS. Notice and request for comments. Request for revision to a collection. AGENCY: ACTION: In compliance with the Paperwork Reduction Act of 1995 SUMMARY: PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 10705 (PRA), the Indian Health Service (IHS) invites the general public to comment on the information collection titled, ‘‘Indian Health Service Medical Staff Credentials,’’ OMB Control Number 0917–0009, that expires February 29, 2020. This proposed information collection project was previously published in the Federal Register (84 FR 70197) on December 20, 2019, and allowed 60 days for public comment, as required by the PRA. The IHS received one comment regarding this collection. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. DATES: Comment Due Date: March 26, 2020. Your comments regarding this information collection are best assured of having full effect if received within 30 days of the date of this publication. Direct Your Comments to OMB: Send your comments and suggestions regarding the proposed information collection contained in this notice, especially regarding the estimated public burden and associated response time to: Office of Management and Budget, Office of Regulatory Affairs, New Executive Office Building, Room 10235, Washington DC 20503, Attention: Desk Officer for IHS. Summary of Comment: The IHS received one comment. The commenter asked: Any reason why PAs and NPs are not included as part of the requirement to be medical staff members? Nonphysician providers are credentialed in the same manner to be able to provide high quality medical care to IHS beneficiaries. The IHS response to the comment: The Federal Register notice makes reference to IHS policy noting ‘‘IHS policy specifically requires physicians and dentists to be members of the health care facility medical staff where they practice.’’ This notice is only making reference to existing IHS policy (not establishing policy in and of itself) as found in Indian Health Manual, Part 3, Chapter 1 which notes ‘‘The medical staff shall include physicians (medical doctors and doctors of osteopathy) and dentists, and other categories of providers as determined by the local medical staff and its governing body, and defined in its policies and procedures manual and bylaws.’’ SUPPLEMENTARY INFORMATION: This notice announces the IHS intent to revise the collection already approved by OMB, and to solicit comments on specific aspects of the information collection. The purpose of this notice is to allow 30 days for public comment to be submitted to OMB. A copy of the supporting statement is available at E:\FR\FM\25FEN1.SGM 25FEN1 10706 Federal Register / Vol. 85, No. 37 / Tuesday, February 25, 2020 / Notices www.regulations.gov (see Docket ID IHS–2019–01). Information Collection Title: ‘‘Indian Health Service Medical Staff Credentials and Privileges Files, 0917–0009.’’ Type of Information Collection Request: Extension of an approved information collection, and revised to, ‘‘Indian Health Service Medical Staff Credentials, 0917–0009.’’ Form Numbers: 0917–0009. Need and Use of Information Collection: This collection of information is used to evaluate individual health care providers applying for medical staff privileges at IHS health care facilities. The IHS operates health care facilities that provide health care services to American Indians and Alaska Natives. To provide these services, the IHS employs (directly and under contract) several categories of health care providers including: Physicians (M.D. and D.O.), dentists, psychologists, optometrists, podiatrists, audiologists, physician assistants, certified registered nurse anesthetists, nurse practitioners, and certified nurse midwives. IHS policy specifically requires physicians and dentists to be members of the health care facility medical staff where they practice. Health care providers become medical staff members depending on the local health care facility’s capabilities and medical staff bylaws. There are three types of IHS medical staff applicants: (1) Health care providers applying for direct employment with IHS; (2) contractors who will not seek to become IHS employees; and (3) employed IHS health care providers who seek to transfer between IHS health care facilities. National health care standards developed by the Centers for Medicare and Medicaid Services, the Joint Commission, and other accrediting organizations require health care facilities to review, evaluate, and verify the credentials, training and experience of medical staff applicants prior to granting medical staff privileges. In order to meet these standards, IHS health care facilities require all medical staff applicants to provide information concerning their education, training, licensure, and work experience and any adverse disciplinary actions taken against them. This information is then verified with references supplied by the applicant and may include: Former employers, educational institutions, licensure and certification boards, the American Medical Association, the Federation of State Medical Boards, the National Practitioner Data Bank, and the applicants themselves. In addition to the initial granting of medical staff membership and clinical privileges, Joint Commission standards require that a review of the medical staff be conducted not less than every two years. This review evaluates the current competence of the medical staff and verifies whether each is maintaining the licensure or certification requirements of one’s specialty. The medical staff credentials and privileges records are maintained at the health care facility where the health care provider is a medical staff member. The establishment of these records at IHS health care facilities is a Joint Commission requirement. Prior to the establishment of this Joint Commission requirement, the degree to which medical staff applications were maintained at all health care facilities in the United States that are verified for completeness and accuracy varied greatly across the Nation. The application process has been streamlined and is using information technology to make the application electronically available via the internet. The IHS is transforming credentialing, which includes granting privileges into a centrally installed, automated, standardized, electronic/digital, Estimated number of respondents Data collection instrument(s) measurable, portable, accessible, and efficient business process to improve the effectiveness of application and reapplication to medical staffs, movement of practitioners within the IHS system, and recruitment/retention of high-quality practitioners. The credentialing process no longer requires paper/pdf forms for granting privileges. The electronic credentialing system incorporates privileges as part of the overall process for credentialing, eliminating the need for paper, and allows tailoring the needs to site specifications. Privileges will differ across IHS Areas and clinics in compliance with accreditation standards. The adoption of a central-source IT system for medical practitioner staff credentialing/privileging data will enhance the quality, accuracy, and efficiency of the IHS credentialing/ privileging process, which is expected to improve the recruitment and retention rates of medical practitioner staff at IHS. Cost savings will be obtained through the termination of disparate business processes, reduction of paperwork duplication, and eliminating systems that do not provide IHS enterprise access to credentialing/ privileging information. Additionally, communicating information electronically can reduce costs and errors, promote collaboration, ensure accreditation/privileging requirements are met, and help bring practitioners on board more quickly, which will improve recruitment and retention. Affected Public: Individuals and households. Type of Respondents: Individuals. The table below provides: Types of data collection instruments, Estimated number of respondents, Number of annual number of responses, Average burden per response, and Total annual burden hours. Responses per respondent Average burden hour per response * Total annual burden (current) Initial Application to Medical Staff ........................................................... Application Packet/Signature Documents ............................................... Reappointment Application to Medical Staff ........................................... 600 1,300 700 1 1 1 0.583 (35 min) ....... 0.167 (10 min) ....... 0.333 (20 min) ....... 350 217 233 Total ................................................................................................. 2,600 ........................ ................................ 800 jbell on DSKJLSW7X2PROD with NOTICES * For ease of understanding, burden hours are provided in actual minutes. Annual number of respondents were factored based on total IHS providers credentialed and privileged on the indicated cycles in the paragraphs above. There are no capital costs, VerDate Sep<11>2014 20:34 Feb 24, 2020 Jkt 250001 operating costs and/or maintenance costs to respondents. Requests for Comments: Your written comments and/or suggestions are invited on one or more of the following points: (a) Whether the information collection activity is necessary to carry PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 out an agency function; (b) whether the agency processes the information collected in a useful and timely fashion; (c) the accuracy of the public burden estimate (the estimated amount of time needed for individual respondents to E:\FR\FM\25FEN1.SGM 25FEN1 Federal Register / Vol. 85, No. 37 / Tuesday, February 25, 2020 / Notices provide the requested information); (d) whether the methodology and assumptions used to determine the estimates are logical; (e) ways to enhance the quality, utility, and clarity of the information being collected; and (f) ways to minimize the public burden through the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. Michael D. Weahkee, Assistant Surgeon General, U.S. Public Health Service, Principal Deputy Director, Indian Health Service. [FR Doc. 2020–03659 Filed 2–24–20; 8:45 am] BILLING CODE 4165–16–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meetings jbell on DSKJLSW7X2PROD with NOTICES Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meetings. 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: National Institute of Child Health and Human Development Special Emphasis Panel; Children with Perinatal HIV in the U.S. Born in Other Countries. Date: March 6, 2020. Time: 1:00 p.m. to 3:00 p.m. Agenda: To review and evaluate grant applications. Place: NICHD Offices, 6710B Rockledge Drive, Bethesda, MD 20892. Contact Person: Kimberly Lynette Houston, M.D., Eunice Kennedy Shriver National Institute of Child Health & Human Development, National Institute of Health, Office of Committee Management, 6710B Rockledge Drive, Bethesda, MD 20892, (301) 827–4902, kimberly.houston@nih.gov. Name of Committee: National Institute of Child Health and Human Development Special Emphasis Panel; Fertility and Infertility Preservation for Patients with Diseases that Previously Precluded Reproduction. Date: April 15, 2020. VerDate Sep<11>2014 20:34 Feb 24, 2020 Jkt 250001 Time: 8:00 a.m. to 5:00 p.m. Agenda: To review and evaluate grant applications. Place: Embassy Suites—Chevy Chase Pavilion, 4300 Military Road NW, Washington, DC 20015. Contact Person: Derek J. Mclean, Ph.D., Scientific Review Officer, Scientific Review Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6710B Rockledge Drive, Rm. 2125B, Bethesda, MD 20892–7002, (301) 443–5082, Derek.McLean@nih.gov. Name of Committee: National Institute of Child Health and Human Development Special Emphasis Panel; IDDRC Review Intellectual and Developmental Disabilities Research Centers 2020. Date: April 21–22, 2020. Time: 8:00 a.m. to 5:00 p.m. Agenda: To review and evaluate grant applications. Place: Embassy Suites—Chevy Chase Pavilion, 4300 Military Road NW, Washington, DC 20015. Contact Person: Brad Cooke, Ph.D., Scientific Review Officer, Scientific Review Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 6710B Rockledge Drive, Rm. 2127C, Bethesda, MD 20817, (703) 292–8460, brad.cooke@nih.gov. Name of Committee: National Institute of Child Health and Human Development Initial Review Group; Contraceptive Clinical Trials Network (CCTN) Male Sites. Date: May 29, 2020. Time: 1:00 p.m. to 5:00 p.m. Agenda: To review and evaluate contract proposals. Place: NICHD Offices, 6710B Rockledge Drive, Bethesda, MD 20892 (Telephone Conference Call). Contact Person: Steven D. Silverman, Eunice Kennedy Shriver National Institute of Child Health & Human Development, National Institute of Health, Office of Committee Management, 6710B Rockledge Drive, Bethesda, MD 20892, (301) 435–8386, steven.silverman@nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.864, Population Research; 93.865, Research for Mothers and Children; 93.929, Center for Medical Rehabilitation Research; 93.209, Contraception and Infertility Loan Repayment Program, National Institutes of Health, HHS) Dated: February 20, 2020. Miguelina Perez, Program Analyst, Office of Federal Advisory Committee Policy. [FR Doc. 2020–03714 Filed 2–24–20; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center for Scientific Review; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory Committee Act, as PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 10707 amended, notice is hereby given of the following meetings. 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: Center for Scientific Review Special Emphasis Panel; Small Business: Endocrinology, Metabolism, Nutrition and Reproductive Sciences. Date: March 19, 2020. Time: 8:00 a.m. to 1:00 p.m. Agenda: To review and evaluate grant applications. Place: Washington Marriott Georgetown, 1221 22nd Street NW, Washington, DC 20037. Contact Person: Yunshang Piao, Ph.D., Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 6184, Bethesda, MD 20892, 301.402.8402, piaoy3@ mail.nih.gov. Name of Committee: Immunology Integrated Review Group; Cellular and Molecular Immunology—B Study Section. Date: March 19–20, 2020. Time: 8:00 a.m. to 5:00 p.m. Agenda: To review and evaluate grant applications. Place: The William F. Bolger Center, 9600 Newbridge Drive, Potomac, MD 20854. Contact Person: Andrea Keane-Myers, Ph.D., Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 4218, Bethesda, MD 20892, 301–435–1221, andrea.keane-myers@nih.gov. Name of Committee: Center for Scientific Review Special Emphasis Panel; PAR Panel: Electronic Nicotine Delivery Systems (ENDS): Population, Clinical and Applied Prevention Research. Date: March 19, 2020. Time: 10:00 a.m. to 4:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20892 (Virtual Meeting). Contact Person: Miriam Mintzer, Ph.D., Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 3108, Bethesda, MD 20892, 301–523–0646, mintzermz@csr.nih.gov. Name of Committee: Center for Scientific Review Special Emphasis Panel; Clinical Research and Field Studies of Bacterial Pathogens. Date: March 19, 2020. Time: 10:00 a.m. to 3:00 p.m. Agenda: To review and evaluate grant applications. E:\FR\FM\25FEN1.SGM 25FEN1

Agencies

[Federal Register Volume 85, Number 37 (Tuesday, February 25, 2020)]
[Notices]
[Pages 10705-10707]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03659]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 30-Day Information Collection: Indian 
Health Service Medical Staff Credentials

AGENCY: Indian Health Service, HHS.

ACTION: Notice and request for comments. Request for revision to a 
collection.

-----------------------------------------------------------------------

SUMMARY: In compliance with the Paperwork Reduction Act of 1995 (PRA), 
the Indian Health Service (IHS) invites the general public to comment 
on the information collection titled, ``Indian Health Service Medical 
Staff Credentials,'' OMB Control Number 0917-0009, that expires 
February 29, 2020. This proposed information collection project was 
previously published in the Federal Register (84 FR 70197) on December 
20, 2019, and allowed 60 days for public comment, as required by the 
PRA. The IHS received one comment regarding this collection. The 
purpose of this notice is to allow 30 days for public comment to be 
submitted directly to OMB.

DATES: Comment Due Date: March 26, 2020. Your comments regarding this 
information collection are best assured of having full effect if 
received within 30 days of the date of this publication.
    Direct Your Comments to OMB: Send your comments and suggestions 
regarding the proposed information collection contained in this notice, 
especially regarding the estimated public burden and associated 
response time to: Office of Management and Budget, Office of Regulatory 
Affairs, New Executive Office Building, Room 10235, Washington DC 
20503, Attention: Desk Officer for IHS.
    Summary of Comment: The IHS received one comment. The commenter 
asked: Any reason why PAs and NPs are not included as part of the 
requirement to be medical staff members? Non-physician providers are 
credentialed in the same manner to be able to provide high quality 
medical care to IHS beneficiaries.
    The IHS response to the comment:
    The Federal Register notice makes reference to IHS policy noting 
``IHS policy specifically requires physicians and dentists to be 
members of the health care facility medical staff where they 
practice.'' This notice is only making reference to existing IHS policy 
(not establishing policy in and of itself) as found in Indian Health 
Manual, Part 3, Chapter 1 which notes ``The medical staff shall include 
physicians (medical doctors and doctors of osteopathy) and dentists, 
and other categories of providers as determined by the local medical 
staff and its governing body, and defined in its policies and 
procedures manual and bylaws.''

SUPPLEMENTARY INFORMATION: This notice announces the IHS intent to 
revise the collection already approved by OMB, and to solicit comments 
on specific aspects of the information collection. The purpose of this 
notice is to allow 30 days for public comment to be submitted to OMB. A 
copy of the supporting statement is available at

[[Page 10706]]

www.regulations.gov (see Docket ID IHS-2019-01).
    Information Collection Title: ``Indian Health Service Medical Staff 
Credentials and Privileges Files, 0917-0009.'' Type of Information 
Collection Request: Extension of an approved information collection, 
and revised to, ``Indian Health Service Medical Staff Credentials, 
0917-0009.'' Form Numbers: 0917-0009. Need and Use of Information 
Collection: This collection of information is used to evaluate 
individual health care providers applying for medical staff privileges 
at IHS health care facilities. The IHS operates health care facilities 
that provide health care services to American Indians and Alaska 
Natives. To provide these services, the IHS employs (directly and under 
contract) several categories of health care providers including: 
Physicians (M.D. and D.O.), dentists, psychologists, optometrists, 
podiatrists, audiologists, physician assistants, certified registered 
nurse anesthetists, nurse practitioners, and certified nurse midwives. 
IHS policy specifically requires physicians and dentists to be members 
of the health care facility medical staff where they practice. Health 
care providers become medical staff members depending on the local 
health care facility's capabilities and medical staff bylaws. There are 
three types of IHS medical staff applicants: (1) Health care providers 
applying for direct employment with IHS; (2) contractors who will not 
seek to become IHS employees; and (3) employed IHS health care 
providers who seek to transfer between IHS health care facilities.
    National health care standards developed by the Centers for 
Medicare and Medicaid Services, the Joint Commission, and other 
accrediting organizations require health care facilities to review, 
evaluate, and verify the credentials, training and experience of 
medical staff applicants prior to granting medical staff privileges. In 
order to meet these standards, IHS health care facilities require all 
medical staff applicants to provide information concerning their 
education, training, licensure, and work experience and any adverse 
disciplinary actions taken against them. This information is then 
verified with references supplied by the applicant and may include: 
Former employers, educational institutions, licensure and certification 
boards, the American Medical Association, the Federation of State 
Medical Boards, the National Practitioner Data Bank, and the applicants 
themselves.
    In addition to the initial granting of medical staff membership and 
clinical privileges, Joint Commission standards require that a review 
of the medical staff be conducted not less than every two years. This 
review evaluates the current competence of the medical staff and 
verifies whether each is maintaining the licensure or certification 
requirements of one's specialty.
    The medical staff credentials and privileges records are maintained 
at the health care facility where the health care provider is a medical 
staff member. The establishment of these records at IHS health care 
facilities is a Joint Commission requirement. Prior to the 
establishment of this Joint Commission requirement, the degree to which 
medical staff applications were maintained at all health care 
facilities in the United States that are verified for completeness and 
accuracy varied greatly across the Nation.
    The application process has been streamlined and is using 
information technology to make the application electronically available 
via the internet. The IHS is transforming credentialing, which includes 
granting privileges into a centrally installed, automated, 
standardized, electronic/digital, measurable, portable, accessible, and 
efficient business process to improve the effectiveness of application 
and reapplication to medical staffs, movement of practitioners within 
the IHS system, and recruitment/retention of high-quality 
practitioners. The credentialing process no longer requires paper/pdf 
forms for granting privileges. The electronic credentialing system 
incorporates privileges as part of the overall process for 
credentialing, eliminating the need for paper, and allows tailoring the 
needs to site specifications. Privileges will differ across IHS Areas 
and clinics in compliance with accreditation standards.
    The adoption of a central-source IT system for medical practitioner 
staff credentialing/privileging data will enhance the quality, 
accuracy, and efficiency of the IHS credentialing/privileging process, 
which is expected to improve the recruitment and retention rates of 
medical practitioner staff at IHS. Cost savings will be obtained 
through the termination of disparate business processes, reduction of 
paperwork duplication, and eliminating systems that do not provide IHS 
enterprise access to credentialing/privileging information. 
Additionally, communicating information electronically can reduce costs 
and errors, promote collaboration, ensure accreditation/privileging 
requirements are met, and help bring practitioners on board more 
quickly, which will improve recruitment and retention.
    Affected Public: Individuals and households. Type of Respondents: 
Individuals.
    The table below provides: Types of data collection instruments, 
Estimated number of respondents, Number of annual number of responses, 
Average burden per response, and Total annual burden hours.

----------------------------------------------------------------------------------------------------------------
                                      Estimated                                                    Total annual
  Data collection instrument(s)       number of     Responses per    Average  burden hour  per        burden
                                     respondents     respondent              response *              (current)
----------------------------------------------------------------------------------------------------------------
Initial Application to Medical                600               1  0.583 (35 min)...............             350
 Staff.
Application Packet/Signature                1,300               1  0.167 (10 min)...............             217
 Documents.
Reappointment Application to                  700               1  0.333 (20 min)...............             233
 Medical Staff.
                                  ------------------------------------------------------------------------------
    Total........................           2,600  ..............  .............................             800
----------------------------------------------------------------------------------------------------------------
* For ease of understanding, burden hours are provided in actual minutes.

    Annual number of respondents were factored based on total IHS 
providers credentialed and privileged on the indicated cycles in the 
paragraphs above. There are no capital costs, operating costs and/or 
maintenance costs to respondents.
    Requests for Comments: Your written comments and/or suggestions are 
invited on one or more of the following points: (a) Whether the 
information collection activity is necessary to carry out an agency 
function; (b) whether the agency processes the information collected in 
a useful and timely fashion; (c) the accuracy of the public burden 
estimate (the estimated amount of time needed for individual 
respondents to

[[Page 10707]]

provide the requested information); (d) whether the methodology and 
assumptions used to determine the estimates are logical; (e) ways to 
enhance the quality, utility, and clarity of the information being 
collected; and (f) ways to minimize the public burden through the use 
of automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology.

 Michael D. Weahkee,
Assistant Surgeon General, U.S. Public Health Service, Principal Deputy 
Director, Indian Health Service.
[FR Doc. 2020-03659 Filed 2-24-20; 8:45 am]
 BILLING CODE 4165-16-P