[Federal Register Volume 68, Number 133 (Friday, July 11, 2003)]
[Notices]
[Pages 41391-41392]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-17639]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Indian Health Service Contract Health Service; Purchase-Delivery 
Order for Health Service

AGENCY: Indian Health Service, HHS.

ACTION: Request for public comment: 30-day proposed information 
collection: Indian Health Service Contract Health Service Purchase-
Delivery Order for Health Service.

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SUMMARY: The Indian Health Service, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a pre-clearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of information in accordance with the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3506(c)(2)(A)). This program helps to ensure 
that requested data can be provided in the desired format, reporting 
burden (time and financial resources) is minimized, collection 
instruments are clearly understood, and the impact of collection 
requirements on respondents can be properly assessed. As required by 
section 3507(a)(1)(D) of the Act, the proposed information collection 
has been submitted to the Office of Management and Budget (OMB) for 
review and approval.
    The IHS received no comments in response to the 60-day Federal 
Register notice (67 FR 77800) published on December 19, 2002. The 
purpose of this notice is to allow an additional 30 days for public 
comment to be submitted directly to OMB.

Proposed Collection

    Title: 0917-0002, re-titled ``Indian Health Service Contract Health 
Service Purchase-Delivery Order for Health Service.'' Type of 
Information Collection Request: Reinstatement, without change, of a 
previously approved collection for which approval has expired. Form 
number: IHS-843-1A. Need and Use of Information Collection: Respondents 
certify that they have performed the health care services authorized by 
the IHS. Information is used to manage, administer and plan for the 
provisions of health care services to eligible American Indians, 
process payments to providers, obtain program data, provide program 
statistics, and serve as a legal document for health care services 
rendered. Affected Public: Businesses or other for-profit, Individuals 
or Households, Not-for-profit institutions, and State, local or Tribal 
Government. Type of Respondents: Health care providers.
    The table below provides the following: types of data collection 
instructions, estimated number of respondents, number of responses per 
respondent, annual number of responses, average burden hour per 
response, and total annual burden hours.

[[Page 41392]]



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                                                    Estimated
           Data collection instrument               number of     Respones per    Annual number     Average burden hours per response*     Total annual
                                                   respondents     respondent     of responses                                             burden hours
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IHS-843-1A.....................................           7,087              42         299,149  0.05 (3 mins)..........................          14,957
Tribal use.....................................             528              36          19,112  0.05 (3 mins)..........................             956
IDS **.........................................          20,142               1          20,142  0.05 (3 mins)..........................           1,007
                                                -----------------
    Total......................................          27,757  ..............  ..............  .......................................         16,920
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* For ease of understanding, burden hours are also provided in actual minutes.
** Inpatient Discharge Summary (IDS).

    There are no Capital Costs, Operating Costs and/or Maintenance 
Costs to report.
    Request 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 estimate 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.
    Direct Comments to OMB: Send your written comments and suggestions 
regarding the proposed information collection contained in this notice, 
especially regarding the estimated public burden and associated 
response time, directly to: Office of Management and Budget, Office of 
Regulatory Affairs, New Executive Office Building, Room 10235, 
Washington, DC 20503, Attention: Allison Eydt, Desk Officer for IHS. 
Send requests for more information on the proposed collection or to 
obtain a copy of the data collection instrument(s) and instructions to: 
Ms. Christine Ingersoll, IHS Reports Clearance Officer, 12300 Twinbrook 
Parkway, Suite 450, Rockville, MD 20852-1601, call non-toll free (301) 
443-5938, send via facsimile to (301) 443-2316, or send your E-mail 
requests, comments, and return address to: [email protected].

FOR FURTHER INFORMATION CONTACT: For information on the proposed data 
collection instrument and/or the process for handling the form IHS-843-
1A, please contact Mr. Clayton Old Elk, 801 Thompson Avenue, Suite 300, 
Rockville, MD 20852-1627, Telephone 301-443-2694.
    Comment Due Date: Your comments regarding this information 
collection are best assured to having their full effect if received 
within 30-days of the date of this publication.

    Dated: June 30, 2003.
Charles W. Grim,
Assistant Surgeon General, Interim Director.
[FR Doc. 03-17639 Filed 7-10-03; 8:45 am]
BILLING CODE 4160-16-M