[Federal Register Volume 77, Number 29 (Monday, February 13, 2012)]
[Notices]
[Pages 7593-7594]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-3281]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Comment Request
In compliance with the requirement for opportunity for public
comment on proposed data collection projects (section 3506(c)(2)(A) of
Title 44, United States Code, as amended by the Paperwork Reduction Act
of 1995, Pub. L. 104-13), the Health Resources and Services
Administration (HRSA) publishes periodic summaries of proposed projects
being developed for submission to the Office of Management and Budget
(OMB) under the Paperwork Reduction Act of 1995. To request more
information on the proposed project or to obtain a copy of the data
collection plans and draft instruments, email [email protected] or
call the HRSA Reports Clearance Officer at (301) 443-0165.
Comments are invited on: (a) The proposed collection of information
for the proper performance of the functions of the Agency; (b) the
accuracy of the Agency's estimate of the burden of the proposed
collection of information; (c) ways to enhance the quality, utility,
and clarity of the information to be collected; and (d) ways to
minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Uncompensated Services Assurance Report (OMB No.
0915-0077)--[Extension]
Under the Hill-Burton Act, the Government provides grants and loans
for construction or renovation of health care facilities. As a
condition of receiving this construction assistance, facilities are
required to provide services to persons unable to pay. A condition of
receiving this assistance requires facilities to provide periodic
assurances that the required level of uncompensated care is being
provided, and that certain notification and record keeping procedures
are being followed. These standard requirements are referred to as the
uncompensated services assurance.
The annual estimate of burden is as follows:
Estimate of Information Collection Burden
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Type of requirement and Number of Responses per Total Hours per Total burden
regulatory citation respondents respondent responses response hours
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Disclosure Burden (42 CFR):
Published Notices 63 1 63 0.75 47.25
(124.504(c))...............
Individual Notices 63 1 63 43.60 2,746.80
(124.504(c))...............
Determinations of Eligibility 63 63 3,969 0.75 2,976.75
(124.507)......................
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SUBTOTAL DISCLOSURE .............. .............. .............. .............. 5,770.80
BURDEN.................
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Type of requirement and Number of Responses per Total Hours per Total burden
regulatory citation respondents respondent responses response hours
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Reporting:
Uncompensated Services 10 1 10 11.00 110.00
Report--HRSA-710 Form
(124.509(a))...............
[[Page 7594]]
Application for Compliance
Alternatives:
Public Facilities (124.513). 4 1 4 6.00 24.00
Small Obligation Facilities 0 .............. .............. .............. ..............
(124.514(c))...............
Charitable Facilities 2 1 2 6.00 12.00
(124.516(c))...............
Annual Certification for
Compliance Alternatives:
Public Facilities 32 1 32 0.50 16.00
(124.509(b))...............
Charitable Facilities 13 1 13 0.50 6.50
(124.509(b))...............
Small Obligation Facilities 0 .............. .............. .............. ..............
(124.509(c))...............
Complaint Information
(124.511(a)):
Individuals................. 10 1 10 0.25 2.50
Facilities.................. 10 1 10 0.50 5.00
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SUBTOTAL REPORTING .............. .............. .............. .............. 176.00
BURDEN.................
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Number of Total burden
Recordkeeping record keepers Hours per year hours
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Non-alternative Facilities (124.510(a))......................... 63 50 3,150.00
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SUBTOTAL RECORDKEEPING BURDEN............................... .............. .............. 3,150.00
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Email comments to [email protected] or mail the HRSA Reports
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane,
Rockville, MD 20857. Written comments should be received within 60 days
of this notice.
Dated: February 7, 2012.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2012-3281 Filed 2-10-12; 8:45 am]
BILLING CODE 4165-15-P