[Federal Register Volume 70, Number 210 (Tuesday, November 1, 2005)]
[Notices]
[Pages 65905-65906]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-21643]


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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, 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.

[[Page 65906]]

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 assurances 
periodically that the required level of uncompensated care is being 
provided, and that certain notification and record keeping procedures 
are being followed. These requirements are referred to as the 
uncompensated services assurance.

                                    Estimate Of Information Collection Burden
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     Type of requirement and          No. of       Responses per       Total         Hours per      Total hour
       regulatory citation          respondents     respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
                                           Disclosure Burden (42 CFR)
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Published Notices (124.504(c))..             206               1             206            0.17              35
Individual Notices (124.504(c)).             206               1             206           35.5            7,313
Determinations of Eligibility                206             396          81,576            0.37          30,183
 (124.507)......................
                                 -----------------
    Subtotal Disclosure Burden..  ..............  ..............  ..............  ..............          37,531
---------------------------------
                                                    Reporting
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Uncompensated Services Report B               10               1              10           11.0              110
 HRSA-710 Form (124.509(a)).....
Application for Compliance
 Alternatives:
    Public Facilities (124.513).               4               1               4            6.0               24
    Small Obligation Facilities                0  ..............  ..............  ..............  ..............
     (124.514(c))...............
    Charitable Facilities                      2               1               2            6.0               12
     (124.516(c))...............
Annual Certification for
 Compliance Alternatives:
    Public Facilities                        144               1             144            0.5               72
     (124.509(b))...............
    Charitable Facilities                     28               1              28            0.5               14
     (124.509(b))...............
    Small Obligation Facilities                1               1               1            0.5                1
     (124.509(c))...............
Complaint Information
 (124.511(a)):
    Individuals.................              10               1              10            0.25               3
    Facilities..................              10               1              10            0.5                5
                                 -----------------
        Subtotal Reporting        ..............  ..............  ..............  ..............             241
         Burden.................
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                                                                  Number of                         Total hour
                        Recordkeeping                           record keepers   Hours per year       burden
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Non-alternative Facilities (124.510(a))......................             206               50           10,300
                                                              ------------------
    Subtotal Recordkeeping Burden............................  ...............  ...............          10,300
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    The total burden for this project is estimated to be 48,072 hours.
    Written comments and recommendations concerning the proposed 
information collection should be sent within 60 days of this notice to: 
Susan G. Queen, Ph.D., HRSA Reports Clearance Officer, Parklawn 
Building Room 10-33, Health Resources and Services Administration, 5600 
Fishers Lane, Rockville, MD 20857.

    Dated: October 25, 2005.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. 05-21643 Filed 10-31-05; 8:45 am]
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