[Federal Register Volume 69, Number 123 (Monday, June 28, 2004)]
[Notices]
[Pages 36093-36094]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-14594]


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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) 
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) will publish 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, call the HRSA Reports Clearance Officer on (301) 443-
1129.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (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 of other 
forms of information technology.

Proposed Project: Charitable Facility Compliance Alternative (amended), 
Final Rule (OMB No. 0915-0256)--Extension

    The Hill-Burton uncompensated services regulations contain 
information collection requirements in 42 CFR Part 124 which are needed 
in order to grant certifications to eligible facilities. The charitable 
facility compliance alternative contains specific reporting 
requirements. 42 CFR 124.516(d) requires certain information for 
initial full or provisional certification of nonprofit facilities under 
the charitable facility compliance alternative. Information for 
certification of facilities under the charitable facility compliance 
alternative is needed by the Health Resources and Services 
Administration to verify that the facilities meet the requirements of 
the compliance alternative. Information collected for certification 
consists primarily of: Audited financial statements; philanthropic 
documentation specifically related to the provision of discounted 
health services; a description of the discounted or charity care 
program; documentation confirming the facility's commitment to provide 
all services to all patients or those patients with incomes up to three 
times the poverty level for nursing homes and twice the poverty level 
for all other facilities at no charge or at a discount; and, charging 
and collection policy and procedures.
    The burden estimate for this project is as follows:

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                                                                                        Number of
                            Application                                Number of      responses per   Total responses      Hours per       Total burden
                                                                      respondents       respondent                         response           hours
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Application for Compliance Alternative (42 CFR 124.516(d))........                5                1                5               6                 30
Certifications in Years 2 and 3...................................                5                2               10                .5                5
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    Total.........................................................                5  ...............               15  ................               35
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[[Page 36094]]

    Send comments to Susan G. Queen, Ph.D., HRSA Reports Clearance 
Officer, Room 14-33 Parklawn Building, 5600 Fishers Lane, Rockville, 
Maryland 20857. Written comments should be received with 60 days of 
this notice.

    Dated: June 21, 2004.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. 04-14594 Filed 6-25-04; 8:45 am]
BILLING CODE 4165-15-P