Request for Public Comment: 60-Day Information Collection: Indian Health Service Medical Staff Credentials Application, 30317-30319 [2023-09998]

Download as PDF Federal Register / Vol. 88, No. 91 / Thursday, May 11, 2023 / Notices In accordance with the Federal Advisory Committee Act, this notice announces that the Advisory Committee on Infant and Maternal Mortality (ACIMM or Committee) has scheduled a public meeting. Information about ACIMM and the agenda for this meeting can be found on the ACIMM website at https://www.hrsa.gov/ advisory-committees/infant-mortality/ index.html. SUMMARY: June 13, 2023, 10:00 a.m. to 5:00 p.m. Eastern Time and June 14, 2023, 9:30 a.m. to 2:00 p.m. Eastern Time. ADDRESSES: This meeting will be conducted in-person at HRSA Headquarters, 5600 Fishers Lane, Conference Room 5N54, Rockville, MD 20857. The meeting will also be held via webinar. The webinar link and log-in information will be available at ACIMM’s website before the meeting: https://www.hrsa.gov/advisorycommittees/infant-mortality/. FOR FURTHER INFORMATION CONTACT: Vanessa Lee, MPH, Designated Federal Official, Maternal and Child Health Bureau, HRSA, 5600 Fishers Lane, Room 18N84, Rockville, Maryland 20857; 301–443–0543; or SACIM@ hrsa.gov. DATES: ACIMM is authorized by section 222 of the Public Health Service Act (42 U.S.C. 217a), as amended and governed by provisions of Public Law 92–463, as amended (5 U.S.C. 10), which sets forth standards for the formation and use of Advisory Committees. ACIMM advises the Secretary of Health and Human Services (Secretary) on department activities, partnerships, policies, and programs directed at reducing infant mortality, maternal mortality and severe maternal morbidity, and improving the health status of infants and women before, during, and after pregnancy. The Committee provides advice on how to coordinate federal, state, local, tribal, and territorial governmental efforts designed to improve infant mortality, related adverse birth outcomes, maternal health, as well as influence similar efforts in the private and voluntary sectors. The Committee provides guidance and recommendations on the policies, programs, and resources required to address the disparities and inequities in infant mortality, related adverse birth outcomes and maternal health outcomes, including maternal mortality and severe maternal morbidity. With its focus on underlying causes of the disparities and inequities seen in birth outcomes for women and infants, ddrumheller on DSK120RN23PROD with NOTICES1 SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 17:07 May 10, 2023 Jkt 259001 ACIMM advises the Secretary on the health, social, economic, and environmental factors contributing to the inequities and proposes structural, policy, and/or systems level changes. The agenda for the June 13–14, 2023, meeting is being finalized and may include the following topics: an update on the recommendations submitted to the Secretary on improving birth outcomes among American Indian and Alaska Native mothers and infants; further discussion to determine new and continuing priority areas for the Committee, including data and information related to social determinants of health and infant health equity; federal updates; and Committee operations. Agenda items are subject to change as priorities dictate. Refer to the ACIMM website listed above for any updated information concerning the meeting. Members of the public will have the opportunity to provide written or oral comments. Requests to submit a written statement or make oral comments to ACIMM should be sent to Vanessa Lee, using the email address above at least 3 business days prior to the meeting. Public participants may submit written statements in advance of the scheduled meeting by emailing SACIM@hrsa.gov. Oral comments will be honored in the order they are requested and may be limited as time allows. Individuals who plan to attend and need special assistance or a reasonable accommodation should notify Vanessa Lee at the contact information listed above at least 10 business days prior to the meeting. Since this meeting occurs in a federal government building, attendees must go through a security check to enter the building. Non-U.S. Citizen attendees must notify HRSA of their planned attendance at least 20 business days prior to the meeting in order to facilitate their entry into the building. All attendees are required to present government-issued identification prior to entry. Maria G. Button, Director, Executive Secretariat. [FR Doc. 2023–10069 Filed 5–10–23; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary Notice of Interest Rate on Overdue Debts Section 30.18 of the Department of Health and Human Services’ claims collection regulations (45 CFR part 30) PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 30317 provides that the Secretary shall charge an annual rate of interest, which is determined and fixed by the Secretary of the Treasury after considering private consumer rates of interest on the date that the Department of Health and Human Services becomes entitled to recovery. The rate cannot be lower than the Department of Treasury’s current value of funds rate or the applicable rate determined from the ‘‘Schedule of Certified Interest Rates with Range of Maturities’’ unless the Secretary waives interest in whole or part, or a different rate is prescribed by statute, contract, or repayment agreement. The Secretary of the Treasury may revise this rate quarterly. The Department of Health and Human Services publishes this rate in the Federal Register. The current rate of 111⁄2%, as fixed by the Secretary of the Treasury, is certified for the quarter ended March 31, 2023. This rate is based on the Interest Rates for Specific Legislation, ‘‘National Health Services Corps Scholarship Program (42 U.S.C. 254o(b)(1)(A))’’ and ‘‘National Research Service Award Program (42 U.S.C. 288(c)(4)(B)).’’ This interest rate will be applied to overdue debt until the Department of Health and Human Services publishes a revision. David C. Horn, Director, Office of Financial Policy and Reporting. [FR Doc. 2023–10025 Filed 5–10–23; 8:45 am] BILLING CODE 4150–04–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 60-Day Information Collection: Indian Health Service Medical Staff Credentials Application 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, the Indian Health Service (IHS) invites the general public to comment on the information collection titled, ‘‘Indian Health Service Medical Staff Credentials Application,’’ OMB Control Number 0917–0009, which expires August 31, 2023. SUMMARY: Comment Due Date: July 10, 2023. Your comments regarding this information collection are best assured of having full effect if received within 60 days of the date of this publication. DATES: E:\FR\FM\11MYN1.SGM 11MYN1 30318 Federal Register / Vol. 88, No. 91 / Thursday, May 11, 2023 / Notices Send your written comments, requests for more information on the collection, or requests to obtain a copy of the data collection instrument and instructions to Ms. Lisa Majewski, Associate Director, Quality Assurance and Patient Safety, by email: lisa.majewski@ihs.gov. SUPPLEMENTARY INFORMATION: This notice announces our 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 60 days for public comment to be submitted to the IHS. A copy of the supporting statement is available at www.regulations.gov (see Docket ID IHS–2023–0001). Information Collection Title: ‘‘Indian Health Service Medical Staff Credentials Application, 0917–0009.’’ Type of Information Collection Request: Revision of an approved information collection, and retitled to, ‘‘Indian Health Service Medical Staff Credentials and Privileges Records, 0917–0009.’’ Form Numbers: 0917–0009. Need and Use of Information Collection: This collection of information is used to evaluate IHS medical and health care professionals to include: licensed practitioners (LP) applying for medical staff membership, credentialing and privileges at IHS health care facilities. Practitioner credentialing and privileging in the IHS has been identified as a priority area for quality improvement to support patient safety, demonstrate quality of care, and improve practitioner satisfaction. The IHS policy specifically requires all LP (i.e., Federal employees, contractors, and volunteers) who intend to provide health care services at IHS facilities to be credentialed and privileged PRIOR to providing such care. When a practitioner applies to provide health care services at an IHS clinic or hospital, that application contains two parts. The first is for membership in the medical staff. Criteria for such membership may include type of licensure, education, training, and experience. The second part is for privileges, which define the scope of clinical care that a practitioner can administer and matches the practitioner’s current clinical competency. There are certain criteria that practitioners must meet in order to exercise particular privileges in the facilities. These criteria may overlap with criteria for membership on the medical staff, but those for privileges are more specific and must be facility specific to meet the facility’s requirements. ddrumheller on DSK120RN23PROD with NOTICES1 ADDRESSES: VerDate Sep<11>2014 17:07 May 10, 2023 Jkt 259001 The IHS operates health care facilities that provide health care services to American Indians and Alaska Natives. To provide these services, the IHS employs (direct-hire and direct-contract) several categories of fully licensed, registered, or certified individuals permitted by law to independently provide patient care services within the scope of their license, registration, or certification, and in accordance with individually granted clinical privileges when the individual is a credentialed member of the IHS medical staff. Licensed Practitioners who are eligible may become medical staff members, depending on the local health care facility’s capabilities and medical staff bylaws. All LP who provide care at IHS facilities must maintain full, active, unrestricted and current licensure and credentials, and be proficient in their granted privileges in accordance with the facility’s medical staff bylaws, accreditation standards, privilege criteria, agency and local policies, and applicable law and guidelines. 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 prime source verify credentials of medical staff applicants prior to granting medical staff privileges. Medical credentials specifically include the primary source verified and documented evidence of competence, character, judgment, education and training. In order to meet these standards, IHS health care facilities require all medical staff applicants to provide verifiable information concerning their education, training, licensure, work experience, health status, and current professional conduct and competence and any adverse disciplinary actions taken against them. This information is collected through the agency’s current commercial off the shelf credentialing software to make the following application packets electronically available via the internet. The Application packets are: (1) PreApplication; (2) Initial Application for Membership & Privileges; and (3) Reappointment Application for Membership and Privileges. All these application packets include a Statement of Understanding and Release and Health Attestation Statement for the LP to sign. Privileges vary across all IHS Areas and clinics, as services and procedures provided and equipment utilized varies across facilities and can change often. Privilege forms are required to be PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 current and modified to reflect only services and procedures provided by that specific facility in order to be in compliance with accreditation standards. The electronic credentialing system allows tailoring the privileging needs to site specifications. Information collected in the application packets are prime source verified by IHS staff using standard IHS forms (Affiliation, Peer Reference, Insurance, and Education) with the original source of the credential. The credentials review includes, but is not limited to, verifying information from the state medical boards, the Drug Enforcement Administration, Excluded Parties List System/System for Awards Management, National Practitioner Data Bank, Office of Inspector General, colleges or universities, residency programs, peer references, insurance companies, etc. Once the LP application packet is approved, agency policy requires licensure, registration, and certification requirements and clinical competency be continuously verified on an ongoing basis until the time of the next reappointment. At the time of reappointment (every two to three years), the health care practitioner will go through a similar reappointment process to renew their membership and privilege status. This review evaluates the current competence of the health care providers and verifies whether they are maintaining the licensure or certification requirements of their specialty. The medical staff credentials and privileges records are stored in two ways: records stored in file folders are stored at the IHS facilities or the Federal Record Center, and computer-based or electronic records are located at the IHS Albuquerque Data Center in Albuquerque, New Mexico. The IHS is continuing to standardize, transform, and optimize the medical staff credentialing and privileging process into a centrally 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 highquality LP. 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 Responses per Respondent, Average Burden per Response, and Total Annual Burden Hours. E:\FR\FM\11MYN1.SGM 11MYN1 30319 Federal Register / Vol. 88, No. 91 / Thursday, May 11, 2023 / Notices Estimated number of respondents Data collection instrument(s) Number of annual responses per respondent Average burden hour per response * Total annual burden (current) ** Pre-Application Package to Medical Staff ............................................. Initial Application Package to Medical Staff and Privileges .................. Reappointment Application Package to Medical Staff and Privileges .. Affiliation Verification ............................................................................. Education Verification ............................................................................ Malpractice Verification ......................................................................... Peer Reference Verification .................................................................. 500 878 2,212 4,225 3,289 2,535 6,180 1 1 1 1 1 1 1 .50 (30 min) ........... 1 (60 min) .............. 0.50 (30 min) ......... .25 (15 min) ........... .25 (15 min) ........... .25 (15 min) ........... .25 (15 min) ........... 250 878 1,106 1,056 822 634 1,545 Total ............................................................................................... 19,819 ........................ ................................ 6,291 For ease of understanding: * Average Burden Hour per Response are provided in actual minutes. ** Total Annual Burden (Current) are provided in hours. ddrumheller on DSK120RN23PROD with NOTICES1 Annual number of respondents and average burden hour were factored based on total IHS providers credentialed and privileged Calendar Year (CY) 22, accreditation requirements with estimates of verification per applicant, and respondent estimate time of completion 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 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. P. Benjamin Smith, Deputy Director, Indian Health Service. [FR Doc. 2023–09998 Filed 5–10–23; 8:45 am] BILLING CODE 4165–16–P VerDate Sep<11>2014 17:07 May 10, 2023 Jkt 259001 DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases; Notice of Closed Meeting Pursuant to section 1009 of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting 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 Diabetes and Digestive and Kidney Diseases Special Emphasis Panel; NIDDK Investigator Award to Support Mentoring of Early Career Researchers From Diverse Backgrounds. Date: June 15–16, 2023. Time: 10:30 a.m. to 5:30 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Democracy II, 6707 Democracy Blvd., Bethesda, MD 20892 (Virtual Meeting). Contact Person: Michele L. Barnard, Ph.D., Scientific Review Officer, NIDDK/Scientific Review Branch, National Institutes of Health, 6707 Democracy Blvd., Room 7353, Bethesda, MD 20892, (301) 594–8898, barnardm@extra.niddk.nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.847, Diabetes, Endocrinology and Metabolic Research; 93.848, Digestive Diseases and Nutrition Research; 93.849, Kidney Diseases, Urology and Hematology Research, National Institutes of Health, HHS) PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 Dated: May 5, 2023. Miguelina Perez, Program Analyst, Office of Federal Advisory Committee Policy. [FR Doc. 2023–10011 Filed 5–10–23; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases; Notice of Closed Meeting Pursuant to section 1009 of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting 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 Diabetes and Digestive and Kidney Diseases Special Emphasis Panel; Fellowships in Diabetes Endocrinology and Metabolism. Date: June 12, 2023. Time: 10:00 a.m. to 6:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Democracy II, 6707 Democracy Blvd., Bethesda, MD 20892 (Virtual Meeting). Contact Person: Thomas A. Tatham, Ph.D., Scientific Review Officer, Review Branch, DEA, NIDDK, National Institutes of Health, Room 7021, 6707 Democracy Boulevard, Bethesda, MD 20892–5452, (301) 594–3993, tathamt@niddk.nih.gov. E:\FR\FM\11MYN1.SGM 11MYN1

Agencies

[Federal Register Volume 88, Number 91 (Thursday, May 11, 2023)]
[Notices]
[Pages 30317-30319]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-09998]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 60-Day Information Collection: Indian 
Health Service Medical Staff Credentials Application

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, the 
Indian Health Service (IHS) invites the general public to comment on 
the information collection titled, ``Indian Health Service Medical 
Staff Credentials Application,'' OMB Control Number 0917-0009, which 
expires August 31, 2023.

DATES: Comment Due Date: July 10, 2023. Your comments regarding this 
information collection are best assured of having full effect if 
received within 60 days of the date of this publication.

[[Page 30318]]


ADDRESSES: Send your written comments, requests for more information on 
the collection, or requests to obtain a copy of the data collection 
instrument and instructions to Ms. Lisa Majewski, Associate Director, 
Quality Assurance and Patient Safety, by email: [email protected].

SUPPLEMENTARY INFORMATION: This notice announces our 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 60 days for public comment to be submitted to the 
IHS. A copy of the supporting statement is available at 
www.regulations.gov (see Docket ID IHS-2023-0001).
    Information Collection Title: ``Indian Health Service Medical Staff 
Credentials Application, 0917-0009.''
    Type of Information Collection Request: Revision of an approved 
information collection, and retitled to, ``Indian Health Service 
Medical Staff Credentials and Privileges Records, 0917-0009.''
    Form Numbers: 0917-0009.
    Need and Use of Information Collection: This collection of 
information is used to evaluate IHS medical and health care 
professionals to include: licensed practitioners (LP) applying for 
medical staff membership, credentialing and privileges at IHS health 
care facilities. Practitioner credentialing and privileging in the IHS 
has been identified as a priority area for quality improvement to 
support patient safety, demonstrate quality of care, and improve 
practitioner satisfaction.
    The IHS policy specifically requires all LP (i.e., Federal 
employees, contractors, and volunteers) who intend to provide health 
care services at IHS facilities to be credentialed and privileged PRIOR 
to providing such care. When a practitioner applies to provide health 
care services at an IHS clinic or hospital, that application contains 
two parts. The first is for membership in the medical staff. Criteria 
for such membership may include type of licensure, education, training, 
and experience. The second part is for privileges, which define the 
scope of clinical care that a practitioner can administer and matches 
the practitioner's current clinical competency. There are certain 
criteria that practitioners must meet in order to exercise particular 
privileges in the facilities. These criteria may overlap with criteria 
for membership on the medical staff, but those for privileges are more 
specific and must be facility specific to meet the facility's 
requirements.
    The IHS operates health care facilities that provide health care 
services to American Indians and Alaska Natives. To provide these 
services, the IHS employs (direct-hire and direct-contract) several 
categories of fully licensed, registered, or certified individuals 
permitted by law to independently provide patient care services within 
the scope of their license, registration, or certification, and in 
accordance with individually granted clinical privileges when the 
individual is a credentialed member of the IHS medical staff. Licensed 
Practitioners who are eligible may become medical staff members, 
depending on the local health care facility's capabilities and medical 
staff bylaws.
    All LP who provide care at IHS facilities must maintain full, 
active, unrestricted and current licensure and credentials, and be 
proficient in their granted privileges in accordance with the 
facility's medical staff bylaws, accreditation standards, privilege 
criteria, agency and local policies, and applicable law and guidelines.
    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 prime source verify credentials of medical staff 
applicants prior to granting medical staff privileges. Medical 
credentials specifically include the primary source verified and 
documented evidence of competence, character, judgment, education and 
training. In order to meet these standards, IHS health care facilities 
require all medical staff applicants to provide verifiable information 
concerning their education, training, licensure, work experience, 
health status, and current professional conduct and competence and any 
adverse disciplinary actions taken against them. This information is 
collected through the agency's current commercial off the shelf 
credentialing software to make the following application packets 
electronically available via the internet. The Application packets are: 
(1) Pre-Application; (2) Initial Application for Membership & 
Privileges; and (3) Reappointment Application for Membership and 
Privileges. All these application packets include a Statement of 
Understanding and Release and Health Attestation Statement for the LP 
to sign.
    Privileges vary across all IHS Areas and clinics, as services and 
procedures provided and equipment utilized varies across facilities and 
can change often. Privilege forms are required to be current and 
modified to reflect only services and procedures provided by that 
specific facility in order to be in compliance with accreditation 
standards. The electronic credentialing system allows tailoring the 
privileging needs to site specifications.
    Information collected in the application packets are prime source 
verified by IHS staff using standard IHS forms (Affiliation, Peer 
Reference, Insurance, and Education) with the original source of the 
credential. The credentials review includes, but is not limited to, 
verifying information from the state medical boards, the Drug 
Enforcement Administration, Excluded Parties List System/System for 
Awards Management, National Practitioner Data Bank, Office of Inspector 
General, colleges or universities, residency programs, peer references, 
insurance companies, etc.
    Once the LP application packet is approved, agency policy requires 
licensure, registration, and certification requirements and clinical 
competency be continuously verified on an ongoing basis until the time 
of the next reappointment. At the time of reappointment (every two to 
three years), the health care practitioner will go through a similar 
reappointment process to renew their membership and privilege status. 
This review evaluates the current competence of the health care 
providers and verifies whether they are maintaining the licensure or 
certification requirements of their specialty.
    The medical staff credentials and privileges records are stored in 
two ways: records stored in file folders are stored at the IHS 
facilities or the Federal Record Center, and computer-based or 
electronic records are located at the IHS Albuquerque Data Center in 
Albuquerque, New Mexico.
    The IHS is continuing to standardize, transform, and optimize the 
medical staff credentialing and privileging process into a centrally 
automated, standardized, electronic/digital, measurable, portable, 
accessible, and efficient business process to improve the effectiveness 
of application and re-application to medical staffs, movement of 
practitioners within the IHS system, and recruitment/retention of high-
quality LP.
    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 Responses per 
Respondent, Average Burden per Response, and Total Annual Burden Hours.

[[Page 30319]]



----------------------------------------------------------------------------------------------------------------
                                                      Number of
                                      Estimated        annual        Average  burden hour  per     Total annual
  Data collection instrument(s)       number of     responses per           response *                burden
                                     respondents     respondent                                    (current) **
----------------------------------------------------------------------------------------------------------------
Pre-Application Package to                    500               1  .50 (30 min)................              250
 Medical Staff.
Initial Application Package to                878               1  1 (60 min)..................              878
 Medical Staff and Privileges.
Reappointment Application Package           2,212               1  0.50 (30 min)...............            1,106
 to Medical Staff and Privileges.
Affiliation Verification.........           4,225               1  .25 (15 min)................            1,056
Education Verification...........           3,289               1  .25 (15 min)................              822
Malpractice Verification.........           2,535               1  .25 (15 min)................              634
Peer Reference Verification......           6,180               1  .25 (15 min)................            1,545
                                  ------------------------------------------------------------------------------
    Total........................          19,819  ..............  ............................            6,291
----------------------------------------------------------------------------------------------------------------
For ease of understanding:
* Average Burden Hour per Response are provided in actual minutes.
** Total Annual Burden (Current) are provided in hours.

    Annual number of respondents and average burden hour were factored 
based on total IHS providers credentialed and privileged Calendar Year 
(CY) 22, accreditation requirements with estimates of verification per 
applicant, and respondent estimate time of completion 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 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.

P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2023-09998 Filed 5-10-23; 8:45 am]
BILLING CODE 4165-16-P


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