[Federal Register Volume 70, Number 161 (Monday, August 22, 2005)]
[Notices]
[Page 48962]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-16503]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, call the 
HRSA Reports Clearance Office on (301)-443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

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

    HRSA proposes to extend the application guide used by organizations 
applying for certification or recertification as a Federally Qualified 
Health Center (FQHC) Look-Alike for purposes of cost-based 
reimbursement under the Medicaid and Medicare programs. The 
requirements described in the application guide are for health centers 
that serve a population that is medically underserved as defined in 
section 330 of the Public Health Service (PHS) Act. 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
Recertification.................................             100               1              15           1,500
                                                 -----------------
    Total.......................................             140  ..............  ..............           5,500
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    Comments and recommendations concerning the proposed information 
collection should be sent within 30 days of this notice to: John 
Kraemer, Human Resources and Housing Branch, Office of Management and 
Budget, New Executive Office Building, Room 10235, Washington, DC 
20503.

    Dated: August 15, 2005.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. 05-16503 Filed 8-19-05; 8:45 am]
BILLING CODE 4165-15-P