[Federal Register Volume 70, Number 73 (Monday, April 18, 2005)]
[Notices]
[Pages 20146-20147]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-7725]


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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 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, 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 or other 
forms of information technology.

Proposed Project: Application for Certification and Recertification as 
a Federally Qualified Health Center (FQHC) Look-Alike (OMB No. 0915-
0142): Revision

    The Health Resources and Services Administration (HRSA) proposes to 
revise the application guide used by organizations applying for 
certification or recertificaion as a Federally Qualified Health Center 
(FQHC) Look-Alike for purposes of cost-based reimbursement under the 
Medicaid and Medicare programs. The guide will be revised to reflect 
legislative, policy, and technical changes since August 2003, the 
issuance date of the last guidance. The estimated burden is as follows:

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                                                     Number of     Responses per     Hours per     Total burden
                      Form                          respondents     respondent       response          hours
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Application.....................................              40               1             100           4,000

[[Page 20147]]

 
Recertification.................................             100               1              15           1,500
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    Total.......................................             140  ..............  ..............           5,500
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    Send comments to Susan G. Queen, Ph.D., 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: April 12, 2005.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. 05-7725 Filed 4-15-05; 8:45 am]
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