Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Health Center Program, 6284-6286 [2023-01918]
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6284
Federal Register / Vol. 88, No. 20 / Tuesday, January 31, 2023 / Notices
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://
www.govinfo.gov/content/pkg/FR-201509-18/pdf/2015-23389.pdf.
Docket: For access to the docket to
read background documents or the
electronic and written/paper comments
received, go to https://
www.regulations.gov and insert the
docket number, found in brackets in the
heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852, 240–402–7500.
You may submit comments on any
guidance at any time (see 21 CFR
10.115(g)(5)).
An electronic copy of the guidance
document is available for download
from the internet. See the
SUPPLEMENTARY INFORMATION section for
information on electronic access to the
guidance. Submit written requests for a
single hard copy of the guidance
document entitled ‘‘Surveying,
Leveling, and Alignment Laser
Products’’ to the Office of Policy, Center
for Devices and Radiological Health,
Food and Drug Administration, 10903
New Hampshire Ave., Bldg. 66, Rm.
5431, Silver Spring, MD 20993–0002.
Send one self-addressed adhesive label
to assist that office in processing your
request.
FOR FURTHER INFORMATION CONTACT: Dina
Jerebitski, Center for Devices and
Radiological Health, Food and Drug
I. Background
This guidance is intended for
manufacturers of laser products and
outlines FDA’s approach regarding the
applicability of FDA’s performance
standard regulations to surveying,
leveling, and alignment (SLA) laser
products.
A notice of availability of the draft
guidance appeared in the Federal
Register of May 5, 2014 (79 FR 25597).
FDA considered comments received and
revised the guidance as appropriate in
response to the comments, including
requests for clarification regarding
which laser products are considered
SLA laser products and including
additional questions and answers
regarding SLA laser class limits.
This guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The guidance represents the current
thinking of FDA on surveying, leveling,
and alignment laser products. It does
not establish any rights for any person
and is not binding on FDA or the public.
You can use an alternative approach if
it satisfies the requirements of the
applicable statutes and regulations.
II. Electronic Access
Persons interested in obtaining a copy
of the guidance may do so by
downloading an electronic copy from
the internet. A search capability for all
Center for Devices and Radiological
Health guidance documents is available
at https://www.fda.gov/medical-devices/
device-advice-comprehensiveregulatory-assistance/guidancedocuments-medical-devices-andradiation-emitting-products. This
guidance document is also available at
https://www.regulations.gov or https://
www.fda.gov/regulatory-information/
search-fda-guidance-documents.
Persons unable to download an
electronic copy of ‘‘Surveying, Leveling,
and Alignment Laser Products’’ may
send an email request to CDRHGuidance@fda.hhs.gov to receive an
electronic copy of the document. Please
use the document number 1764 and
complete title to identify the guidance
you are requesting.
III. Paperwork Reduction Act of 1995
While this guidance contains no new
collection of information, it does refer to
previously approved FDA collections of
information. Therefore, clearance by the
Office of Management and Budget
(OMB) under the Paperwork Reduction
Act of 1995 (PRA) (44 U.S.C. 3501–
3521) is not required for this guidance.
The previously approved collections of
information are subject to review by
OMB under the PRA. The collections of
information in the following FDA
regulations, guidance, and forms have
been approved by OMB as listed in the
following table:
21 CFR part, guidance, or FDA form
Topic
1002 through 1050 ............................................................................
Reporting and Recordkeeping for Electronic Products—General Requirements.
Dated: January 26, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
ACTION:
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
[OMB No. 0915–0285—Revision]
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; Health Center Program
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
AGENCY:
VerDate Sep<11>2014
19:38 Jan 30, 2023
Jkt 259001
Notice.
In compliance with the
Paperwork Reduction Act of 1995,
HRSA submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period. OMB may act on
HRSA’s ICR only after the 30-day
comment period for this notice has
closed.
SUMMARY:
[FR Doc. 2023–01964 Filed 1–30–23; 8:45 am]
khammond on DSKJM1Z7X2PROD with NOTICES
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 3574, Silver Spring,
MD 20993–0002, 301–796–2411.
SUPPLEMENTARY INFORMATION:
Comments on this ICR should be
received no later than March 2, 2023.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
DATES:
PO 00000
Frm 00062
Fmt 4703
Sfmt 4703
OMB control No.
0910–0025
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under Review—Open for
Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email
Samantha Miller, the HRSA Information
Collection Clearance Officer, at
paperwork@hrsa.gov or call 301–594–
4394.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Health Center Program Forms OMB No.
0915–0285—Revision.
Abstract: The Health Center Program,
administered by HRSA, is authorized
under Section 330 of the Public Health
Service Act (42 U.S.C. 254b). Health
centers are community-based and
E:\FR\FM\31JAN1.SGM
31JAN1
6285
Federal Register / Vol. 88, No. 20 / Tuesday, January 31, 2023 / Notices
patient-directed organizations that
deliver affordable, accessible, quality,
and cost-effective primary health care
services to patients regardless of their
ability to pay. Nearly 1,400 health
centers operate approximately 14,000
service delivery sites that provide
primary health care to more than 30
million people in every U.S. state, the
District of Columbia, Puerto Rico, the
U.S. Virgin Islands, and the Pacific
Basin. HRSA uses forms for new and
existing health centers and other entities
to apply for various grant and non-grant
opportunities, renew grant and nongrant designations, report progress, and
change their scopes of project.
A 60-day notice published in the
Federal Register on October 17, 2022,
vol. 87, No. 199; pp. 62861. There were
no public comments.
Need and Proposed Use of the
Information: Health Center Programspecific forms are necessary for award
processes and oversight of the Health
Center Program and other relevant
programs. These forms provide HRSA
staff and objective review committee
panels with information essential for
application evaluation, funding
recommendation and approval,
designation, and monitoring. These
forms also provide HRSA staff with
information essential for evaluating
compliance with Health Center Program
statutory and regulatory requirements.
HRSA intends to make several
changes to its forms:
• HRSA will modify the following
forms to streamline and clarify data
currently being collected: 1A, 1B, 1C, 2,
4, 6A, 8, Checklist for Adding a New
Service, Checklist for Adding a New
Service Delivery Site, Checklist for
Adding a New Target Population,
Checklist for Deleting Existing Service,
Checklist for Deleting Existing Service
Delivery Site, Expanded Services
Patient Impact, Health Center
Controlled Networks Progress Report,
Operational Plan, Project Narrative
Update, Project Overview Form, Project
Work Plan, and the Summary Page—
Service Area Competition.
• HRSA will add forms necessary for
funding applications and program
monitoring: Applicant Qualification
Criteria Form, Financial Performance
Indicators, Funding Request Summary
Form, Fiscal Year (FY) 2022
Accelerating Cancer Screening Progress
Report, Native Hawaiian Health Care
Improvement Act (NHHCIA) NonCompeting Continuation (NCC) Clinical
and Financial Performance Measures,
NHHCIA NCC Income Analysis Form,
NHHCIA NCC Project Work Plan
Progress Report, NHHCIA NCC Project
Work Plan Update, Patient Impact Form,
Project Cover Page, Progress Report—
Non-Capital Investments, School-Based
Health Center Location Form, Quality
Improvement Fund (QIF) Evaluative
Measures Report, QIF Project Plan Form
and QIF Progress Report.
• HRSA will remove forms to further
streamline information collected by
HRSA and reduce burden: Clinical
Performance Measures, Diabetes Action
Plan, Expanded Services, Financial
Performance Measures, FY 2018
Expanding Access to Quality Substance
Use Disorder—Mental Health Integrated
Behavioral Health Services Progress
Reporting, Health Center Program
Supplemental Information, HRSA
Electronic Handbooks Action Plan and
the Program Specific Form Instructions.
Likely Respondents: Health Center
Program award recipients (those funded
under section 330 of the Public Health
Service Act) and Health Center Program
look-alikes, state and national technical
assistance organizations, and other
organizations seeking funding.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose, or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and use
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
khammond on DSKJM1Z7X2PROD with NOTICES
Form name
Applicant Qualification Criteria Form ...................................
Capital Semi Annual Progress Report .................................
Checklist for Adding a New Service ....................................
Checklist for Adding a New Service Delivery Site ..............
Checklist for Adding a New Target Population ...................
Checklist for Deleting Existing Service ................................
Checklist for Deleting Existing Service Delivery Site ..........
Environmental Information and Documentation ..................
Equipment List .....................................................................
Expanded Services Patient Impact ......................................
Federal Object Class Categories Form ...............................
Financial Performance Indicators ........................................
Form 12: Organization Contacts ..........................................
Form 1A: General Information Worksheet ...........................
Form 1B: Funding Request Summary .................................
Form 1C: Documents on File ..............................................
Form 2: Staffing Profile ........................................................
Form 3: Income Analysis .....................................................
Form 3A: Look-Alike Budget Information ............................
Form 4: Community Characteristics ....................................
Form 5A: Services Provided ................................................
Form 5B: Service Sites ........................................................
Form 5C: Other Activities/Locations ....................................
Form 6A: Current Board Member Characteristics ...............
VerDate Sep<11>2014
16:46 Jan 30, 2023
Jkt 259001
PO 00000
Frm 00063
Number of
responses per
respondent
500
1,317
450
1,480
100
500
750
750
1,375
996
735
20
1,058
1,058
1,000
1,058
1,058
1,058
50
1,058
1,058
1,058
1,058
1,058
Fmt 4703
Sfmt 4703
Total
responses
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
E:\FR\FM\31JAN1.SGM
500
2,634
450
1,480
100
500
750
750
1,375
996
735
20
1,058
1,058
1,000
1,058
1,058
1,058
50
1,058
1,058
1,058
1,058
1,058
31JAN1
Average
burden per
response
(in hours)
1.00
1.00
2.00
2.00
2.00
2.00
2.00
.50
.50
1.00
.25
1.00
1.00
1.00
.75
.50
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Total burden
hours
500
2,634
900
2,960
200
1,000
1,500
375
688
996
184
20
1,058
1,058
750
529
1,058
1,058
50
1,058
1,058
1,058
1,058
1,058
6286
Federal Register / Vol. 88, No. 20 / Tuesday, January 31, 2023 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS—Continued
Number of
respondents
Form name
Form 6B: Request for Waiver of Board Member Requirements ................................................................................
Form 8: Health Center Agreements ....................................
Funding Request Summary Form (School-Based Health
Center) ..............................................................................
Funding Sources ..................................................................
FY 2020 Ending the HIV Epidemic Primary Care HIV Prevention PCHP Progress Reporting ..................................
FY 2022 Accelerating Cancer Screening Progress Report
Health Center Controlled Networks Progress Report .........
Health Center Program Progress Report ............................
HRSA Loan Guarantee Program Application ......................
NHHCIA NCC Clinical Performance Measures ...................
NHHCIA NCC Financial Performance Measures ................
NHHCIA NCC Income Analysis Form .................................
NHHCIA NCC Project Work Plan Progress Report ............
NHHCIA NCC Project Work Plan Update ...........................
Operational Plan ..................................................................
Other Requirements for Sites ..............................................
Participating Health Centers List .........................................
Patient Impact Form ............................................................
Patient Target and Calculations ..........................................
Progress Report—Non-Capital Investments ........................
Project Cover Page ..............................................................
Project Narrative Update .....................................................
Project Overview Form ........................................................
Project Plan ..........................................................................
Project Qualification Criteria ................................................
Project Work Plan ................................................................
Proposal Cover Page ...........................................................
QIF Evaluative Measures Report ........................................
QIF Progress Report ............................................................
QIF Project Plan Form .........................................................
Summary Page (New Access Point) ...................................
Summary Page (Service Area Competition) .......................
HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Number of
responses per
respondent
[FR Doc. 2023–01918 Filed 1–30–23; 8:45 am]
1,058
1,058
1.00
1.00
1,058
1,058
500
735
1
1
500
735
.50
.50
250
368
182
10
90
735
20
6
6
6
6
6
500
600
90
500
1,058
1,400
735
883
500
182
735
135
735
12
12
100
500
450
32,798
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
1
3
1
1
1
1
1
1
1
1
........................
182
10
90
735
20
6
6
6
6
6
500
600
90
500
1,058
5,600
735
883
500
546
735
135
735
12
12
100
500
450
39,279
1.00
1.50
1.00
1.00
1.00
1.50
.50
.15
.15
.15
3.00
.50
1.00
1.00
1.00
1.50
1.00
4.00
1.00
1.50
1.00
4.00
1.00
1.50
1.50
1.00
1.00
.50
........................
182
15
90
735
20
9
3
1
1
1
1,500
300
90
500
1,058
8,400
735
3,532
500
819
735
540
735
18
18
100
500
225
46,529
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
[OMB No. 0915–0345 Revision]
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; HRSA AIDS Drug Assistance
Program Data Report
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
In compliance with the
Paperwork Reduction Act of 1995,
HRSA submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
khammond on DSKJM1Z7X2PROD with NOTICES
SUMMARY:
16:46 Jan 30, 2023
Jkt 259001
PO 00000
Frm 00064
Total burden
hours
1
1
BILLING CODE 4165–15–P
VerDate Sep<11>2014
Average
burden per
response
(in hours)
1,058
1,058
AGENCY:
Maria G. Button,
Director, Executive Secretariat.
Total
responses
Fmt 4703
Sfmt 4703
approval period. OMB may act on
HRSA’s ICR only after the 30-day
comment period for this notice has
closed.
Comments on this ICR must be
received no later than March 2, 2023.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under Review—Open for
Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email
Samantha Miller, the HRSA Information
Collection Clearance Officer at
paperwork@hrsa.gov or call 301–594–
4394.
DATES:
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
HRSA AIDS Drug Assistance Program
E:\FR\FM\31JAN1.SGM
31JAN1
Agencies
[Federal Register Volume 88, Number 20 (Tuesday, January 31, 2023)]
[Notices]
[Pages 6284-6286]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-01918]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
[OMB No. 0915-0285--Revision]
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Health Center Program
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period. OMB may act on HRSA's ICR only after the 30-day
comment period for this notice has closed.
DATES: Comments on this ICR should be received no later than March 2,
2023.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under Review--Open for
Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Samantha Miller, the HRSA
Information Collection Clearance Officer, at [email protected] or call
301-594-4394.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Health Center Program Forms
OMB No. 0915-0285--Revision.
Abstract: The Health Center Program, administered by HRSA, is
authorized under Section 330 of the Public Health Service Act (42
U.S.C. 254b). Health centers are community-based and
[[Page 6285]]
patient-directed organizations that deliver affordable, accessible,
quality, and cost-effective primary health care services to patients
regardless of their ability to pay. Nearly 1,400 health centers operate
approximately 14,000 service delivery sites that provide primary health
care to more than 30 million people in every U.S. state, the District
of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific
Basin. HRSA uses forms for new and existing health centers and other
entities to apply for various grant and non-grant opportunities, renew
grant and non-grant designations, report progress, and change their
scopes of project.
A 60-day notice published in the Federal Register on October 17,
2022, vol. 87, No. 199; pp. 62861. There were no public comments.
Need and Proposed Use of the Information: Health Center Program-
specific forms are necessary for award processes and oversight of the
Health Center Program and other relevant programs. These forms provide
HRSA staff and objective review committee panels with information
essential for application evaluation, funding recommendation and
approval, designation, and monitoring. These forms also provide HRSA
staff with information essential for evaluating compliance with Health
Center Program statutory and regulatory requirements.
HRSA intends to make several changes to its forms:
HRSA will modify the following forms to streamline and
clarify data currently being collected: 1A, 1B, 1C, 2, 4, 6A, 8,
Checklist for Adding a New Service, Checklist for Adding a New Service
Delivery Site, Checklist for Adding a New Target Population, Checklist
for Deleting Existing Service, Checklist for Deleting Existing Service
Delivery Site, Expanded Services Patient Impact, Health Center
Controlled Networks Progress Report, Operational Plan, Project
Narrative Update, Project Overview Form, Project Work Plan, and the
Summary Page--Service Area Competition.
HRSA will add forms necessary for funding applications and
program monitoring: Applicant Qualification Criteria Form, Financial
Performance Indicators, Funding Request Summary Form, Fiscal Year (FY)
2022 Accelerating Cancer Screening Progress Report, Native Hawaiian
Health Care Improvement Act (NHHCIA) Non-Competing Continuation (NCC)
Clinical and Financial Performance Measures, NHHCIA NCC Income Analysis
Form, NHHCIA NCC Project Work Plan Progress Report, NHHCIA NCC Project
Work Plan Update, Patient Impact Form, Project Cover Page, Progress
Report--Non-Capital Investments, School-Based Health Center Location
Form, Quality Improvement Fund (QIF) Evaluative Measures Report, QIF
Project Plan Form and QIF Progress Report.
HRSA will remove forms to further streamline information
collected by HRSA and reduce burden: Clinical Performance Measures,
Diabetes Action Plan, Expanded Services, Financial Performance
Measures, FY 2018 Expanding Access to Quality Substance Use Disorder--
Mental Health Integrated Behavioral Health Services Progress Reporting,
Health Center Program Supplemental Information, HRSA Electronic
Handbooks Action Plan and the Program Specific Form Instructions.
Likely Respondents: Health Center Program award recipients (those
funded under section 330 of the Public Health Service Act) and Health
Center Program look-alikes, state and national technical assistance
organizations, and other organizations seeking funding.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and use technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
Applicant Qualification Criteria 500 1 500 1.00 500
Form...........................
Capital Semi Annual Progress 1,317 2 2,634 1.00 2,634
Report.........................
Checklist for Adding a New 450 1 450 2.00 900
Service........................
Checklist for Adding a New 1,480 1 1,480 2.00 2,960
Service Delivery Site..........
Checklist for Adding a New 100 1 100 2.00 200
Target Population..............
Checklist for Deleting Existing 500 1 500 2.00 1,000
Service........................
Checklist for Deleting Existing 750 1 750 2.00 1,500
Service Delivery Site..........
Environmental Information and 750 1 750 .50 375
Documentation..................
Equipment List.................. 1,375 1 1,375 .50 688
Expanded Services Patient Impact 996 1 996 1.00 996
Federal Object Class Categories 735 1 735 .25 184
Form...........................
Financial Performance Indicators 20 1 20 1.00 20
Form 12: Organization Contacts.. 1,058 1 1,058 1.00 1,058
Form 1A: General Information 1,058 1 1,058 1.00 1,058
Worksheet......................
Form 1B: Funding Request Summary 1,000 1 1,000 .75 750
Form 1C: Documents on File...... 1,058 1 1,058 .50 529
Form 2: Staffing Profile........ 1,058 1 1,058 1.00 1,058
Form 3: Income Analysis......... 1,058 1 1,058 1.00 1,058
Form 3A: Look-Alike Budget 50 1 50 1.00 50
Information....................
Form 4: Community 1,058 1 1,058 1.00 1,058
Characteristics................
Form 5A: Services Provided...... 1,058 1 1,058 1.00 1,058
Form 5B: Service Sites.......... 1,058 1 1,058 1.00 1,058
Form 5C: Other Activities/ 1,058 1 1,058 1.00 1,058
Locations......................
Form 6A: Current Board Member 1,058 1 1,058 1.00 1,058
Characteristics................
[[Page 6286]]
Form 6B: Request for Waiver of 1,058 1 1,058 1.00 1,058
Board Member Requirements......
Form 8: Health Center Agreements 1,058 1 1,058 1.00 1,058
Funding Request Summary Form 500 1 500 .50 250
(School-Based Health Center)...
Funding Sources................. 735 1 735 .50 368
FY 2020 Ending the HIV Epidemic 182 1 182 1.00 182
Primary Care HIV Prevention
PCHP Progress Reporting........
FY 2022 Accelerating Cancer 10 1 10 1.50 15
Screening Progress Report......
Health Center Controlled 90 1 90 1.00 90
Networks Progress Report.......
Health Center Program Progress 735 1 735 1.00 735
Report.........................
HRSA Loan Guarantee Program 20 1 20 1.00 20
Application....................
NHHCIA NCC Clinical Performance 6 1 6 1.50 9
Measures.......................
NHHCIA NCC Financial Performance 6 1 6 .50 3
Measures.......................
NHHCIA NCC Income Analysis Form. 6 1 6 .15 1
NHHCIA NCC Project Work Plan 6 1 6 .15 1
Progress Report................
NHHCIA NCC Project Work Plan 6 1 6 .15 1
Update.........................
Operational Plan................ 500 1 500 3.00 1,500
Other Requirements for Sites.... 600 1 600 .50 300
Participating Health Centers 90 1 90 1.00 90
List...........................
Patient Impact Form............. 500 1 500 1.00 500
Patient Target and Calculations. 1,058 1 1,058 1.00 1,058
Progress Report--Non-Capital 1,400 4 5,600 1.50 8,400
Investments....................
Project Cover Page.............. 735 1 735 1.00 735
Project Narrative Update........ 883 1 883 4.00 3,532
Project Overview Form........... 500 1 500 1.00 500
Project Plan.................... 182 3 546 1.50 819
Project Qualification Criteria.. 735 1 735 1.00 735
Project Work Plan............... 135 1 135 4.00 540
Proposal Cover Page............. 735 1 735 1.00 735
QIF Evaluative Measures Report.. 12 1 12 1.50 18
QIF Progress Report............. 12 1 12 1.50 18
QIF Project Plan Form........... 100 1 100 1.00 100
Summary Page (New Access Point). 500 1 500 1.00 500
Summary Page (Service Area 450 1 450 .50 225
Competition)...................
32,798 .............. 39,279 .............. 46,529
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HRSA specifically requests comments on (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions, (2) the accuracy of the
estimated burden, (3) ways to enhance the quality, utility, and clarity
of the information to be collected, and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-01918 Filed 1-30-23; 8:45 am]
BILLING CODE 4165-15-P